title: Round Ligament Technique and Use of a Vessel-sealing Device to Facilitate Complete Salpingectomy at the Time of Vaginal Hysterectomy.
abstract: Prophylactic salpingectomy at the time of hysterectomy has been recommended for women at average risk for ovarian cancer. Vaginal hysterectomy is considered the preferred approach to a benign hysterectomy, and adnexectomy should not be considered a contraindication to this approach. This paper with accompanying video describes and demonstrates the round ligament technique and use of a vessel-sealing device to facilitate removal of the entire fallopian tube at the time of vaginal hysterectomy.
authors.affiliation: Section of Urogynecology, Columbia University Medical Hospital, New York, NY. Electronic address: rk2803@cumc.columbia.edu.
authors.forename: Rosanne M
authors.initials: RM
authors.lastname: Kho
authors.affiliation: Division of Gynecologic Oncology, Mayo Clinic, Phoenix, AZ.
authors.forename: Javier F
authors.initials: JF
authors.lastname: Magrina
mesh_terms: D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods; D010051:Ovarian Neoplasms / Q000473:pathology / Q000517:prevention & control*; D012307:Risk Factors; D012404:Round Ligament of Uterus / Q000473:pathology / Q000601:surgery*; D058994:Salpingectomy / Q000379:methods; D016896:Treatment Outcome
keywords: Round-ligament technique; Salpingectomy; Vagina; Vaginal hysterectomy; Vessel-sealing device