title: Surgical outcomes and complications of prophylactic salpingectomy at the time of benign hysterectomy in premenopausal women.
abstract: OBJECTIVE
  To compare the surgical outcome and short-term postoperative complications in premenopausal women who had undergone hysterectomies for benign indication with or without prophylactic bilateral salpingectomy.
  
  
  METHODS
  A cohort of consecutive women who had undergone hysterectomy plus bilateral salpingectomy between May 2012 and July 2014 (group A) were compared with the same number of consecutive premenopausal patients who had undergone simple hysterectomy operated on before May 2012 (group B). Inclusion criteria included premenopausal women and benign indication for surgery (Canadian Task Force classification III).
  
  
  METHODS
  tertiary care hospital.
  
  
  METHODS
  Salpingectomy versus no salpingectomy at the time of benign hysterectomy.
  
  
  RESULTS
  A total of 97 and 71 patients were included in groups A and B, respectively. No differences between the 2 groups were observed regarding patient characteristics. The average operative time, estimated blood loss, uterine size, and intraoperative complications were similar between groups. The mean (standard deviation) length of hospitalization time was 43.7 (22.4) hours in group A and 53.9 (83.5) hours in group B (p = .008). There were no significant differences in terms of the incidence of postoperative complications, emergency visits after readmission, and hospital readmission between both groups of patients.
  
  
  CONCLUSIONS
  Prophylactic salpingectomy at the time of benign hysterectomy in premenopausal women is safe and feasible and does not worsen surgical outcomes or the incidence of intraoperative and postoperative complications.
authors.affiliation: Gynecology Department, Valencian Institute of Oncology, Valencia, Spain; Gynecology Oncology Unit, HM Hospitales, Centro Integral Oncológico Clara Campal, CEU San Pablo University, Madrid, Spain. Electronic address: miniglucas@gmail.com.
authors.forename: Lucas
authors.initials: L
authors.lastname: Minig
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Linus
authors.initials: L
authors.lastname: Chuang
authors.affiliation: Gynecology Oncology Unit, HM Hospitales, Centro Integral Oncológico Clara Campal, CEU San Pablo University, Madrid, Spain.
authors.forename: María Guadalupe
authors.initials: MG
authors.lastname: Patrono
authors.affiliation: Department of Applied Mathematics and Statistics CEU San Pablo University, Madrid, Spain.
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Cárdenas-Rebollo
authors.affiliation: Gynecology Oncology Unit, Medical Oncology Department. HM Hospitales, Centro Integral Oncológico Clara Campal, Madrid, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: García-Donas
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D017697:Premenopause; D012189:Retrospective Studies; D058994:Salpingectomy / Q000009:adverse effects*; D013030:Spain; D016896:Treatment Outcome
keywords: Benign hysterectomy; Prophylactic salpingectomy; Surgical outcomes