The Use of Opportunistic Salpingectomy at the Time of Benign Hysterectomy

Study Objective

To delineate the use of opportunistic salpingectomy over the study period, to examine factors associated with its use, and to evaluate whether salpingectomy was associated with perioperative complications.

Design

A retrospective cross-sectional study (Canadian Task Force classification II-2).

Setting

The Michigan Surgical Quality Collaborative.

Patients

Women undergoing ovarian-conserving hysterectomy for benign indications from January 2013 through April 2015.

Interventions

The primary outcome was the performance of opportunistic salpingectomy with ovarian preservation during benign hysterectomy. The change in the rate of salpingectomy was examined at 4-month intervals to assess a period effect over the study period. Multivariate logistic regression was performed to evaluate independent effects of patient, operative, and period factors. Perioperative outcomes were compared using propensity score matching.

Measurements and Main Results

There were 10?676 (55.9%) ovarian-conserving hysterectomies among 19?090 benign hysterectomies in the Michigan Surgical Quality Collaborative in the study period. The rate of opportunistic salpingectomy was 45.8% (n?=?4890). Rates of opportunistic salpingectomy increased over the study period from 27.5% to 61.6% (p?

Conclusion

The rates of salpingectomy increased significantly over the study period. The laparoscopic approach and younger age are associated with an increased probability of salpingectomy. Salpingectomy is not associated with increased blood loss or perioperative complications.