Taking the tube: Uptake of salpingectomy at the time of hysterectomy for benign indications

BackgroundInternational guidelines recommend the fallopian tubes be removed at the time of hysterectomy, to lower the incidence of ovarian cancer inwomen. AimsTo determine the rate of salpingectomy at the time of hysterectomy at our institution and to discuss a standard rate. Materials and MethodsHysterectomies (n=200) performed for benign indications from 13 January 13, 2015 until 26 April 26, 2016 were reviewed. ResultsThe overall rate of salpingectomy was 76.0%. Factors associated withnon-completion were uterovaginal prolapse indication and vaginal surgicalapproach. ConclusionsRates of completing salpingectomy with hysterectomy are high. There may be additional opportunity for ovarian cancer reduction. No standard rate has been published but considering difficulty with removal of fallopian tubes in certain cases, it may not be 100%. Our data allows for comparison by other units performing similar studies. We recommend the formal adoption of localguidelines regarding salpingectomy at the time of hysterectomy for benign indications in order to keep local practice up to date with international recommendations.