Medizinische Universität Graz - Research portal
Selected Publication:
Huetter, C.
Implementation and Feasibility of Prophylactic Bilateral Salpingectomy at Benign, Minimally Invasive (Vaginal and Laparoscopic) Hysterectomy in Styria: A Retrospective Study
Humanmedizin; [ Diplomarbeit ] Medical University Graz; 2021. pp. 48
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- Authors Med Uni Graz:
- Advisor:
- Tamussino Karl
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- Abstract:
- Background It is now accepted that serous ovarian cancer originates in the fallopian tubes as so-called serous tubal intraepithelial carcinoma (STIC). Epidemiologic data indicate that salpingectomy reduces the risk of developing ovarian cancer. Accordingly, numerous societies, including the Austrian Society of Obstetrics and Gynecology (OEGGG) in 2015, have recommended prophylactic bilateral salpingectomy (PBS) in appropriate women at the time of benign gynecologic surgery. The aim of the recommendation was to lower the risk of developing serous ovarian cancer. Objective The primary objective of the study is to evaluate the implementation of PBS at benign, minimally invasive hysterectomy in public hospitals in the Austrian province of Styria in 2014 vs. 2018 (before and after the official OEGGG recommendation in 2015). Secondary objectives include the comparison of vaginal vs. laparoscopic approach and determination of influencing factors associated with unsuccessful salpingectomy, e.g., age, BMI, parity, surgical experiences, perioperative complications, etc. Methods This is a retrospective, multicenter study. We reviewed surgical consent forms and operative notes of benign, minimally invasive hysterectomies in Styria in 2014 and 2018. Ethics Committee approval was obtained. Results A total of 1256 benign, minimally invasive hysterectomies were identified (580 in 2014, 676 in 2018). 68% of the patients consented to PBS in 2014 and 94% in 2018. The PBS-rate increased significantly from 60% to 78%. The proportion of vaginal hysterectomies increased from 45% in 2014 to 56% in 2018, whereas the proportion of laparoscopic hysterectomies decreased from 55% to 44%. Age and parity are the major influencing factors on the success of PBS. Conclusions PBS at minimally invasive hysterectomy was widely performed in Styria even before the official recommendation in 2015, and increased thereafter. PBS was accomplished similarly in both laparoscopic and vaginal hysterectomy.