Subramaniam A, Blanchard CT, Erickson BK, et al. Feasibility of complete salpingectomy compared with standard postpartum tubal ligation at cesarean delivery: a randomized controlled trial. Obstet Gynecol. 2018;132:20-27.
Is salpingectomy (vs standard tubal ligation) for sterilization a feasible option at cesarean delivery?
Dr. Repke is Professor Emeritus, Obstetrics and Gynecology, Penn State University College of Medicine, Hershey, Pennsylvania.
The author reports no financial relationships relevant to this video.
WHAT DOES THIS MEAN FOR PRACTICE?
- Bilateral salpingectomy at CD takes on average 15 min longer than bilateral tubal ligation
- Estimated blood loss and safety outcomes similar for both procedures
- Bilateral salpingectomy at the time of CD is a feasible option for permanent sterilization
- Counsel patients considering bilateral salpingectomy at CD about:
- increased operative time
- potential inability to complete the procedure bilaterally due to possible operative complications
- Bilateral salpingectomy best for women >25 years who have completed childbearing