A significant increase in the utilization rate of salpingectomy occurred from June 2011 to May 2016 in a study conducted at an integrated health care system, with salpingectomy accounting for better than 3/4 of interval laparoscopic tubal sterilization procedures and 9% of intrapartum and postpartum procedures in the final year of the study. The retrospective cohort included women aged ≥18 years undergoing surgical sterilization. Rates of salpingectomy and tubal occlusion were calculated for each of the 5 1-year intervals in the study. Researchers found:
- A total of 10,741 tubal sterilization procedures were identified.
- There was an increase in salpingectomies from 0.4% to 35.5% of tubal sterilization procedures performed over the study period.
- Salpingectomy instead of tubal occlusion increased as an interval tubal sterilization procedure from 1% to 78%.
- Median blood loss was similar for salpingectomy and tubal occlusion at cesarean and interval sterilization, but was more for salpingectomy postpartum.
Powell BC, Alabaster A, Simmons S, et al. Salpingectomy for sterilization: Change in practice in a large integrated health care system, 2011-2016. [Published online ahead of print October 6, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000002312.