Expert Commentary

Is salpingectomy (vs standard tubal ligation) for sterilization a feasible option at cesarean delivery?

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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
    • irreversibility
  • Bilateral salpingectomy best for women >25 years who have completed childbearing


 

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