title: [Current surgical practice of prophylactic and opportunistic salpingectomy in France].
abstract: OBJECTIVE
  Since the recent evidence of a tubal origin of most ovarian cancers, opportunistic salpingectomy could be discussed as a prophylactic strategy in the general population and with hereditary predisposition. We aimed to survey French gynecological surgeons about their current surgical practice of prophylactic salpingectomy.
  
  
  METHODS
  An anonymous online survey was sent to French obstetrician-gynaecologists and gynecological surgeons. There were 13 questions about their current clinical practice and techniques of salpingectomy during a benign hysterectomy or as a tubal sterilization method, salpingectomy versus salpingo-oophorectomy in the population with genetic risk, salpingectomy in relationship with endometriosis and questions including histopathological considerations.
  
  
  RESULTS
  Among the 569 respondents, opportunistic salpingectomy was always performed between 42.48% and 43.44% during laparoscopic, laparoscopic-assisted vaginal or laparotomic hysterectomy and only 12.26% in case of vaginal route. In the genetic population, salpingo-oophorectomy was mainly performed. Tubal sterilization was often practiced by the hysteroscopic route. More than 90% of respondents didn't perform salpingectomy in case of endometriosis. There was not any specific tubal histopathological protocol in 71.54% of cases.
  
  
  CONCLUSIONS
  Salpingectomy may be a preventing strategy in the low- and high-risk population. The survey's responses show that salpingectomy seems to be a current practice during benign hysterectomy for more than 40% doctors. However, there is not any change with no more salpingectomy in the population with genetic risk, or in case of endometriosis or tubal sterilization.
authors.affiliation: Département de gynécologie, hôpital Femme-Mère-Enfant (HFME), hospices civils de Lyon, 69000 Lyon, France; EMR 3738, université Claude-Bernard Lyon 1, 69000 Lyon, France. Electronic address: chenegautier@yahoo.fr.
authors.forename: G
authors.initials: G
authors.lastname: Chene
authors.affiliation: Département de gynécologie-obstétrique, hôpital privé Marne-Chantereine, 77177 Brou-sur-Chantereine, France.
authors.forename: B
authors.initials: B
authors.lastname: de Rochambeau
authors.affiliation: Département de gynécologie, hôpital Femme-Mère-Enfant (HFME), hospices civils de Lyon, 69000 Lyon, France.
authors.forename: K
authors.initials: K
authors.lastname: Le Bail-Carval
authors.affiliation: Département de gynécologie, hôpital Femme-Mère-Enfant (HFME), hospices civils de Lyon, 69000 Lyon, France.
authors.forename: E
authors.initials: E
authors.lastname: Beaufils
authors.affiliation: Département de gynécologie, hôpital Femme-Mère-Enfant (HFME), hospices civils de Lyon, 69000 Lyon, France.
authors.forename: P
authors.initials: P
authors.lastname: Chabert
authors.affiliation: Département de gynécologie, hôpital Femme-Mère-Enfant (HFME), hospices civils de Lyon, 69000 Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Mellier
authors.affiliation: Département de gynécologie, hôpital Femme-Mère-Enfant (HFME), hospices civils de Lyon, 69000 Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Lamblin
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005602:France; D020022:Genetic Predisposition to Disease; D013509:Gynecologic Surgical Procedures; D006176:Gynecology; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000235:genetics / Q000517:prevention & control*; D010052:Ovariectomy; D010820:Physicians; D010818:Practice Patterns, Physicians'; D058994:Salpingectomy; D013246:Sterilization, Tubal; D011795:Surveys and Questionnaires
keywords: Annexectomie; Cancer de l’ovaire; Hysterectomy; Hystérectomie; Opportunistic salpingectomy; Ovarian cancer; Prevention; Prophylactic salpingectomy; Prévention; Salpingectomie prophylactique; Salpingo-oophorectomy