Success and Complications of Salpingectomy at the Time of Vaginal Hysterectomy.
OBJECTIVE
To document the success rates and complications of salpingectomy performed at the time of vaginal hysterectomy to possibly reduce ovarian cancer rates.


METHODS
Retrospective cohort study (Canadian Task Force Classification II-2).


METHODS
Community-based hospital with university affiliation in Calgary, Canada.


METHODS
All women undergoing hysterectomy for benign conditions were offered preferentially a vaginal approach with prophylactic salpingectomy.


RESULTS
During the study period (October 2011 to January 2014), a total of 425 vaginal hysterectomies were performed. The overall success rate of salpingectomy was 88%. Pelvic adhesions significantly predicted the ability to perform salpingectomies (odds ratio, 6.3; 95% confidence interval, 2.8-14.3; p < .001). Age also was predictive of outcomes (p = .007), with increasing age predicting decrease success. The overall postoperative complication rate was 15%, with 3.8% possibly attributable to salpingectomy (i.e., intrapelvic complications). No associated factors were found on regression analysis.


CONCLUSIONS
Salpingectomy at the time of vaginal hysterectomy is a feasible procedure. Complication rates are low. Only pelvic adhesions are associated with failure to complete a salpingectomy.
Section of Pelvic Medicine, Cummings School of Medicine, University of Calgary, Clagary, AB, Canada. Electronic address: Magali.robert@albertahealthservices.ca.
Magali
M
Robert
Department of Obstetrics and Gynecology, Cummings School of Medicine, University of Calgary, Clagary, AB, Canada.
David
D
Cenaiko
Department of Kinesiology, University of Calgary, Clagary, AB, Canada.
Jasmine
J
Sepandj
Department of Obstetrics and Gynecology, Cummings School of Medicine, University of Calgary, Clagary, AB, Canada.
Stanislaw
S
Iwanicki
D000328:Adult; D000368:Aged; D002170:Canada / Q000453:epidemiology; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods; D008875:Middle Aged; D016017:Odds Ratio; D010051:Ovarian Neoplasms / Q000517:prevention & control*; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D058994:Salpingectomy / Q000379:methods; D016896:Treatment Outcome
Surgical outcome; Vaginal salpingectomy