État des lieux de la salpingectomie prophylatique en France

Conclusions Plus de 40 % des participants ont adopté la salpingectomie sans ovariectomie associée dans leur pratique courante lors d’une hystérectomie bénigne en péri-ménopause. En revanche, cette stratégie est peu appliquée dans les autres situations (risque génétique, endométriose, stérilisation). Objectives Since the recent evidence of a tubal origin of most ovarian cancers, opportunistic salpingectomy could be discussed as a prophylactic strategy in the general population and with hereditary predisposition. We aimed to survey French gynecological surgeons about their current surgical practice of prophylactic salpingectomy. Methods An anonymous online survey was sent to French obstetrician-gynaecologists and gynecological surgeons. There were 13 questions about their current clinical practice and techniques of salpingectomy during a benign hysterectomy or as a tubal sterilization method, salpingectomy versus salpingo-oophorectomy in the population with genetic risk, salpingectomy in relationship with endometriosis and questions including histopathological considerations. Results Among the 569 respondents, opportunistic salpingectomy was always performed between 42.48% and 43.44% during laparoscopic, laparoscopic-assisted vaginal or laparotomic hysterectomy and only 12.26% in case of vaginal route. In the genetic population, salpingo-oophorectomy was mainly performed. Tubal sterilization was often practiced by the hysteroscopic route. More than 90% of resp...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research