![]() The single-center trial enrolled women undergoing a planned cesarean delivery at 35 or more weeks’ gestation, including those who had previous cesareans and women with multiple gestations or fetal malpresentations. Patients were unaware of the allocation until hospital discharge. ![]() ![]() Patient allocation was determined by computer-generated numbers, placed in a sealed envelope, and revealed to the surgeon only at the time of the opening incision for the cesarean procedure. Subramaniam and her colleagues constructed a clinical trial that asked patients who were receiving cesarean delivery and who desired surgical sterilization to agree to randomization to complete salpingectomy or standard tubal ligation. One theoretical concern is an increased risk of bleeding another is the additional operative time required for a potentially difficult dissection of the entire fallopian tube.ĭr. Subramaniam said, there had been limited prospective data on salpingectomy performed at the time of cesarean delivery. “Primary prevention is the focus to reduce the ovarian cancer burden.” Subramaniam, a maternal-fetal medicine specialist at the University of Alabama at Birmingham. The strategy to perform salpingectomy during cesarean delivery may be one way to reduce the incidence of ovarian cancer, “the most lethal gynecologic malignancy in the United States,” said Dr. ![]() In a study of 80 patients, operative times were longer by 15 minutes for those who received salpingectomy, and neither group had adverse outcomes or serious complications, according to Akila Subramaniam, MD, who presented the findings of the single-site Salpingectomy at Cesarean Delivery for Ovarian Cancer Reduction ( SCORE) trial at the meeting sponsored by the Society for Maternal-Fetal Medicine. DALLAS – Salpingectomy – which can reduce the risk for later ovarian cancer – was completed successfully in about two-thirds of women who desired permanent contraception at cesarean delivery and were randomized to receive this procedure rather than simple tubal ligation. ![]()
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