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Salpingectomy During Vaginal Hysterectomy: A Surgical Technique to Make It Easier

Giraudet, Géraldine, MD; Rubod, Chrystèle, MD, PhD; Collinet, Pierre, MD, PhD; Cosson, Michel, MD, PhD

doi: 10.1097/AOG.0000000000002746
Contents: Gynecologic Surgery: Procedures and Instruments

BACKGROUND: Opportunistic salpingectomy at the time of hysterectomy is currently recommended to reduce the lifetime risk of ovarian cancer. The vaginal route is least invasive, but surgeons sometimes may choose to perform this procedure laparoscopically or robotically when anticipating adnexal surgery as a result of limited visibility.

TECHNIQUE: We describe a surgical technique to make salpingectomy by the vaginal route easier and more feasible. Posterior rotation of the uterus provides excellent access to the tube, which can easily be removed before separation of the adnexa.

EXPERIENCE: We have performed more than 60 vaginal hysterectomies using this technique. Salpingectomy was always feasible.

CONCLUSION: We demonstrate a simple technique to safely perform opportunistic salpingectomy during a vaginal hysterectomy.

Opportunistic salpingectomy at the time of vaginal hysterectomy is easier when performed before separating the adnexa from the uterus.

Gynecological Department, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France.

Corresponding author: Géraldine Giraudet, MD, Hôpital Jeanne de Flandre, Avenue Eugène Avinée, CHRU Lille, 59037 Lille Cedex, France; email: geraldine.giraudet@chru-lille.fr.

Financial Disclosure Dr. Giraudet participates in workshop sessions for Olympus and Boston Scientific. Dr. Rubod participates in workshop sessions for Olympus and Nordicpharma. Dr. Collinet participates in workshop sessions for Olympus, Nordicpharma, Intuitive Surgery, Covidien, and Ethicon. Dr. Cosson participates in clinical research for Coloplast; participates in workshops, expert meetings, and teaching lessons for Fresenius, Allergan, Olympus, and Boston Scientific; and has two patents in the field of pelvic synthetic mesh and genital prolapse surgery.

Each author has indicated that he or she has met the journal's requirements for authorship.

Received March 13, 2018. Received in revised form May 1, 2018. Accepted May 10, 2018.

Received March 13, 2018

Received in revised form May 01, 2018

Accepted May 10, 2018

© 2018 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.