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Case 36 - A 45-Year-Old P2 Woman Undergoing Vaginal Hysterectomy Who Desires Opportunistic Salpingectomy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 45-year-old woman, gravida 2, para 2, presents for preoperative consultation for hysterectomy. She has a long-standing history of abnormal uterine bleeding and has failed medical management with combined hormonal contraceptive pills and a levonorgestrel intrauterine device (IUD). She has completed childbearing and desires definitive surgical management with hysterectomy. Her family history is notable for breast cancer in her maternal grandmother. She denies history of abnormal Pap smears. She has no history of sexually transmitted infections. She has two prior spontaneous vaginal deliveries at term. Her medical history is significant for hypertension and she has no past surgical history. She is currently taking lisinopril and she has no known drug allergies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 109 - 111
Publisher: Cambridge University Press
Print publication year: 2021

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References

ACOG Committee Opinion No. 774: Opportunistic salpingectomy as a strategy for epithelial ovarian cancer prevention. Obstet Gynecol 2019; 133(4): e279–84.Google Scholar
Society of Gynecologic Oncology. SGO Clinical Practice Statement: salpingectomy for ovarian cancer prevention. Chicago, IL: SGO; 2013. Available at: www.sgo.org/resources/sgo-clinical-practice-statement-salpingectomy-for-ovarian-cancer-prevention/. (Accessed June 25, 2020.)Google Scholar
Yoon, SH, Kim, SN, Shim, SH, Kang, SB, Lee, SJ. Bilateral salpingectomy can reduce the risk of ovarian cancer in the general population: a meta-analysis. Eur J Cancer 2016; 55: 3846.CrossRefGoogle ScholarPubMed
Cadish, L, Shepard, J, Barber, E, Ridgeway, B. Risks and benefits of opportunistic salpingectomy during vaginal hysterectomy: a decision analysis. Am J Obstet Gynecol 2017; 217: 603.e16.CrossRefGoogle ScholarPubMed
Antosh, DD, High, R, Brown, HW, et al. Feasibility of prophylactic salpingectomy during vaginal hysterectomy. Am J Obstet Gynecol 2017; 217: 605.e15.CrossRefGoogle ScholarPubMed
Robert, M, Cenaiko, D, Sepandj, J, Iwanicki, S. Success and complications of salpingectomy at the time of vaginal hysterectomy. J Minim Invasive Gynecol 2015; 22: 864–9.CrossRefGoogle ScholarPubMed
Cornella, J. Vaginal salpingectomy techniques in the presence of ovarian conservation. J Minim Invasive Gynecol 2018; 25: 16.CrossRefGoogle ScholarPubMed
Giraudet, G, Rubod, C, Collinet, P, Cosson, M. Salpingectomy during vaginal hysterectomy: a surgical technique to make it easier. Obstet Gynecol 2018; 132: 271–3.CrossRefGoogle ScholarPubMed
Kho, R, Magrina, J. Round ligament technique and use of a vessel-sealing device to facilitate complete salpingectomy at the time of vaginal hysterectomy. J Minim Invasive Gynecol 2015; 22: 1084–7.CrossRefGoogle ScholarPubMed

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