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Bilateral salpingectomy to reduce the risk of ovarian/ fallopian/peritoneal cancer in women at average risk: A position statement of the Korean Society of Obstetrics and Gynecology (KSOG)

Title
Bilateral salpingectomy to reduce the risk of ovarian/ fallopian/peritoneal cancer in women at average risk: A position statement of the Korean Society of Obstetrics and Gynecology (KSOG)
Authors
Kim M.Kim Y.-H.Kim Y.B.Kim J.Kim J.-W.Park M.H.Park J.H.Rhee J.H.Lim M.C.Hong J.-S.
Ewha Authors
박미혜
SCOPUS Author ID
박미혜scopus
Issue Date
2018
Journal Title
Obstetrics and Gynecology Science
ISSN
2287-8572JCR Link
Citation
Obstetrics and Gynecology Science vol. 61, no. 5, pp. 542 - 552
Keywords
Fallopian tubesHysterectomyOvarian neoplasmsProphylactic surgical proceduresSalpingectomy
Publisher
Korean Society of Obstetrics and Gynecology
Indexed
SCOPUS; KCI scopus
Document Type
Review
Abstract
Based on the current understanding of a preventive effect of bilateral salpingectomy on ovarian/fallopian/peritoneal cancers, the Korean Society of Obstetrics and Gynecology, Korean Society of Gynecologic Endocrinology, Korean Society of Gynecologic Oncology, Korean Society of Maternal Fetal Medicine, and Korean Society for Reproductive Medicine support the following recommendations: • Women scheduled for hysterectomy for benign gynecologic disease should be informed that bilateral salpingectomy reduces the risk of ovarian/fallopian/peritoneal cancer, and they should be counseled regarding this procedure at the time of hysterectomy. • Although salpingectomy is generally considered as a safe procedure in terms of preserving ovarian reserve, there is a lack of evidences representing its long-term outcomes. Therefore, patients should be informed about the minimal potential of this procedure for decreasing ovarian reserve. • Prophylactic salpingectomy during vaginal hysterectomy is favorable in terms of prevention of ovarian/fallopian/ peritoneal cancer, although operation-related complications minimally increase with this procedure, compared to the complications associated with vaginal hysterectomy alone. Conversion to open or laparoscopic approach from vaginal approach to perform prophylactic salpingectomy is not recommended. • Women who desire permanent sterilization at the time of cesarean delivery could be counseled for prophylactic salpingectomy before surgery on an individual basis. © 2018 Korean Society of Obstetrics and Gynecology.
DOI
10.5468/ogs.2018.61.5.542
Appears in Collections:
의과대학 > 의학과 > Journal papers
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