Benefits and Risks of Bilateral Salpingectomy Compared With Standard Tubal Ligation During Cesarean Delivery for Permanent Postpartum Contraception

Conclusions and Relevance Opportunistic bilateral salpingectomy at the time of cesarean delivery is feasible and safe. Operative time may be increased up to 15 minutes for salpingectomy performed by suture ligation compared with standard tubal ligation. Women with a history of 3 or more cesarean deliveries are more likely to require an alternative procedure. It is important to counsel women that although opportunistic bilateral salpingectomy may significantly decrease the risk of ovarian cancer, it does not eliminate the risk entirely. Target Audience Obstetricians and gynecologists, family physicians Learning Objectives After participating in this activity, the provider should be better able to: describe the benefits to opportunistic bilateral salpingectomy at the time of cesarean delivery; outline the risks associated with opportunistic bilateral salpingectomy as a means of postpartum contraception; and identify what populations would benefit from opportunistic bilateral salpingectomy at the time of cesarean delivery.
Source: Obstetrical and Gynecological Survey - Category: OBGYN Tags: CME ARTICLES Source Type: research