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| http://dx.doi.org/10.3238/arztebl.m2022.0232 | DOI Listing |
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Opportunistic salpingectomy: A Delphi study among Brazilian experts.
Int J Gynaecol Obstet
January 2025
Department of Obstetrics and Gynecology, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Evaluating ovarian cancer risk-reducing salpingectomy acceptance: a survey.
Cancer Res Commun
January 2025
University of British Columbia, Vancouver, BC, Canada.
With evidence that salpingectomy is effective in preventing high grade serous carcinoma, it is time to consider offering this procedure to people at higher-than-average lifetime risk for ovarian cancer, despite not having a pathogenic genetic variant that increases risk for ovarian cancer. This targeted approach has potential to be effective at reducing ovarian cancer incidence, and unlike opportunistic salpingectomy is focused on people with an increased lifetime risk of ovarian cancer. However, the acceptability of this approach within the population of potential patients remains unknown.
View Article and Find Full Text PDFPatient and Surgeon Attitudes Toward Opportunistic Salpingectomy During Nongynecological Surgeries for the Prevention of Ovarian Cancer: A Qualitative Study.
J Surg Oncol
December 2024
Department of Surgery, Columbia University Medical Center, New York, New York, USA.
Background And Objectives: Opportunity salpingectomy (OS), or prophylactic removal of the fallopian tubes during an operation for another indication, is broadly accepted as a risk-reduction strategy for ovarian cancer during gynecological operations. However, OS during nongynecological abdominal surgery is rare in the United States. A better understanding of surgeon and patient attitudes and perceived barriers to OS during nongynecological surgeries may facilitate implementation in the United States.
View Article and Find Full Text PDFArticle Synopsis
- Serous tubal intraepithelial carcinoma (STIC) lesions are precursors to high-grade serous ovarian carcinomas, which have the highest mortality rates among gynecologic cancers, particularly affecting women with hereditary risk factors.
- A 38-year-old woman of Nepalese descent was found to have a STIC lesion during an opportunistic salpingectomy performed for sterilization, highlighting the potential risks even in patients considered average risk for ovarian cancer.
- While the SEE-FIM protocol, which is more sensitive for detecting STIC lesions, is typically not applied to average risk patients, implementing it could reduce missed diagnoses, although the costs and effort involved remain uncertain, especially among underrepresented populations.
Vaginal hysterectomy and transvaginal natural orifice transluminal endoscopic surgery for uterosacral ligament suspension for pelvic organ prolapse: 53 cases of single-surgeon experience.
Rev Assoc Med Bras (1992)
November 2024
Istanbul Aydın University, Department of Obstetrics and Gynecology - Istanbul, Turkey.
Objective: The objective of this study was to describe the single-surgeon experience on transvaginal natural orifice transluminal endoscopic surgery for uterosacral ligament suspension in patients with severe prolapse who had concomitant vaginal hysterectomy.
Methods: A total of 53 patients with severe uterine prolapse who underwent vaginal hysterectomy and transvaginal natural orifice transluminal endoscopic surgery for uterosacral ligament suspension between January 2021 and March 2023 were included in the study. Operation time, intraoperative and postoperative complications, de novo urinary continence, and duration of hospitalization were obtained from the patient records.
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