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    Bilateral salpingectomy: An opportunity to reduce cancer risk




    1. The Society of Gynecologic Oncology of Canada. GOC statement regarding salpingectomy and ovarian cancer prevention. September 15, 2011.

    2. Tone AA, Salvador S, Finlayson SJ, Tinker AV, et al. The role of the fallopian tube in ovarian cancer. Clin Adv Hematol Oncol 2012;10(5):296-306.

    3. Kindelberger DW, Lee Y, Miron A. Hirsch MS, et al. Intraepithelial carcinoma of the fimbria and pelvic serous carcinoma: evidence for a causal relationship. Am J Surg Pathol 2007;31(2):161-169.

    4. Ghezzi F, Cromi A, Siesto G, Bergamini V, et al. Infectious morbidity after total laparoscopic hysterectomy: Does concomitant salpingectomy make a difference? BJOG 2009:116:589-593.

    5. Morelli M, Venturella R, Mocciaro R, Di Cello A, et al. Prophylactic salpingectomy in premenopausal low-risk women for ovarian cancer: Primum non nocere. Gynecol Oncol. 2013;129:448-451.

    6. McAlpine JN, Hanley GE, Woo MM, Tone AA, et al. Opportunistic salpingectomy : uptake, risks,and complications of a regional initiative for ovarian cancer prevention. Am J Obstet Gynecol. 2014;210:471 e1-11.

    7. Dar P, Sachs GS, Strassburger D, Bukovsky I, Arieli S. Ovarian function before and after salpingectomy in artificial reproductive technology patients. Hum Reprod. 2000;15(1):142-144.

    8. Lass A, Ellenbogen A, Croucher C, Trew G, et al. Effect of salpingectomy on ovarian response ot superovulation in an in vitro fertilization-embryo transfer program. Fert Steril. 1998;70(6):1035-1038.

    9. Sezik M, Ozkaya O, Demir F, Sezik HT, Kaya H. Total salpingectomy during abdominal hysterectomy: Effects on ovarian reserve and ovarian stromal blood flow. J Obstet Gynaecol Res. 2007;33(6):863-869.

    10. Peterson HB, Xia Z, Hughes JM, Wilcox LS, et al, for the US Collaborative Review of Sterilization Working Group. The risk of pregnancy after tubal sterilization: Findings from the US Collaborative Review of Sterilization. Am J Obstet Gynecol. 1996;174(4):1161-1170.

    11. Madsen C, Baandrup L, Dehlendorff C, Kjaer SK. Tubal ligation and salpingectomy and the risk of epithelial ovarian cancer and borderline ovarian tumors: a nationwide case-control study. Acta Obstet Gynecol Scand. 2015;94(1):86-94.


    Alicia Saunders, MD
    Dr Saunders is Instructor in the Department of Obstetrics and Gynecology, Mount Sinai West and Mount Sinai St. Luke’s Hospitals, Mount ...
    Lisa Anderson, MD
    Dr Anderson is Assistant Professor in the Department of Obstetrics and Gynecology, Mount Sinai West and Mount Sinai St. Luke’s ...
    Peter G. McGovern, MD
    Dr McGovern is Professor in the Department of Obstetrics and Gynecology, Mount Sinai West and Mount Sinai St. Luke’s Hospitals, Mount ...

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    • UBM User
      Distal salpingectomy has become a common procedure in my practice. I offer it and perform it during hysterectomies, and it is my only option for sterilization. ACOG should develop a CPT code specific for the latter modality as billing has required a lot of improvisation as there is no CPT code that applies to this procedure.


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