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[Opportunistic Salpingectomy for Permanent Contraception: A Cross Sectional Study in Portugal]
Verónica São Pedro1, Rafaela Pires1, Fernanda Santos1
1Serviço de Ginecologia e Obstetrícia B. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
Acta Medica Portuguesa
|July 2, 2021
Summary
Opportunistic salpingectomy is not the most common sterilization method in Portugal, but it is considered the preferred option for definitive contraception. Discussing its benefits and risks with patients is recommended.
Area of Science:
- Gynecology
- Surgical Oncology
- Public Health
Background:
- Opportunistic bilateral salpingectomy is explored as an ovarian cancer risk-reduction strategy and a method for tubal sterilization.
- The study investigates current sterilization procedures, motivational factors, and demographic/professional influences.
Purpose of the Study:
- To assess nationwide sterilization procedures for interval and peripartum cases.
- To identify reasons for performing or not performing salpingectomy.
- To explore demographic and professional factors influencing sterilization choices.
Main Methods:
- A cross-sectional study utilizing a survey distributed to Obstetrics and Gynecology specialists and residents in 2019.
- Data collected from 225 respondents across 42 institutions.
Main Results:
- Laparoscopic tubal electrocoagulation (61%) was the most frequent interval sterilization; salpingectomy was performed in 28%.
- Key barriers to salpingectomy included increased operative time (48.5%) and the procedure not being considered (45.5%).
- During cesarean sections, modified Pomeroy (54%) and salpingectomy (32.5%) were common, with salpingectomy more prevalent in the north.
- 69% of surveyed professionals believe salpingectomy should be the offered procedure for definitive contraception.
Conclusions:
- Salpingectomy during cesarean delivery appears feasible and safe, presenting an optimal opportunity for this intervention.
- While not the most common, opportunistic salpingectomy is viewed as the best choice for definitive contraception, necessitating informed patient discussion on risks and benefits.
