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Rev Bras Ginecol Obstet 2020 Jun 30;42(6):325-332. Epub 2020 Jun 30.

Department of General Surgery ad Specialty, Universidade Federal Fluminense, Niterói, RJ, Brazil.

Objective:  To evaluate the insertion of the hysteroscopic intratubal sterilization device for female sterilization concerning the technique and the feasibility.

Methods:  Retrospective study with data collection of medical records of 904 patients who underwent device insertion between January and September 2016 in a public hospital in Rio de Janeiro (Brazil) with data analysis and descriptive statistics.

Results:  In 85. Read More

Ultrasound Q 2020 Jun;36(2):138-145

Department of Obstetrics and Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH.

Purpose: To estimate the diagnostic efficacy of saline-air hysterosalpingo-contrast sonography (SA-HyCoSy) compared with the modified hysterosalpingogram (mHSG) for confirmation of both coil location and tubal occlusion following hysteroscopic sterilization.

Methods: This study included 19 women who underwent both SA-HyCoSy and mHSG where 1 test was followed by the other. Sensitivity, specificity, and positive and negative predictive values for tubal occlusion against the mHSG were calculated for each fallopian tube by 2 independent interpreters. Read More

J Obstet Gynaecol Can 2020 Apr 25. Epub 2020 Apr 25.

Professeure adjointe, Service d'obstétrique-gynécologie générale, Département d'obstétrique et gynécologie, Centre hospitalier universitaire de Sherbrooke.

Objective: The Society of Obstetricians and Gynaecologists of Canada (SOGC) and the Society of Gynaecologic Oncology of Canada (GOC) recommend complete removal of the fallopian tubes as a permanent contraceptive method because of its association with a reduced risk of ovarian cancer. Currently, many women are not offered bilateral salpingectomy as an alternative to tubal ligation for permanent contraception.

Method: As part of a quality improvement initiative, we reviewed all cases of sterilization performed at our university centre between 1 January and 31 December 2018. Read More

J Obstet Gynaecol Can 2020 Jun 26;42(6):779-786. Epub 2020 Mar 26.

Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON; Mount Sinai Fertility, Mount Sinai Hospital, Toronto, ON. Electronic address:

Objective: This study sought to answer the following question: What are the complications and assisted reproductive technology outcomes among women with hydrosalpinges managed by hysteroscopic microinsert tubal occlusion compared with women with hydrosalpinges managed by laparoscopic proximal tubal occlusion or salpingectomy?

Methods: This was a retrospective cohort study conducted from January 2009 to December 2014 at two academic, tertiary care, in vitro fertilization centres in Toronto, Ontario. All patients (n = 52) who underwent hysteroscopic tubal occlusion for hydrosalpinges were identified. Patients who proceeded with embryo transfer cycles after hysteroscopic microinsert (n = 33) were further age matched to a cohort of patients who underwent embryo transfer after laparoscopic proximal tubal occlusion or salpingectomy (n = 33). Read More

Zhonghua Yi Xue Za Zhi 2020 Mar;100(10):775-778

Jiaxing Women's and Children's Hospital of Wenzhou Medical University, Jiaxing 314000, China.

To investigate the effect of modified tubal resection or ligation on the incidence of interstitial pregnancy during the re-pregnancy. Patients who underwent tubal resection or ligation in our hospital from June 2017 to June 2019 were selected as research subjects and randomly divided into observation group and control group, with 43 cases in each group.The observation group received modified tubal resection or ligation, while the control group received traditional tubal resection or ligation, and the occurrence of re-gestation interstitial pregnancy was followed up. Read More

Obstet Gynecol 2020 Mar;135(3):550-557

Departments of Obstetrics and Gynecology, Divisions of Maternal Fetal Medicine, University of South Florida, Morsani College of Medicine, Tampa, and University of Florida College of Medicine, Jacksonville, Jacksonville, Florida.

Objective: To compare the differences in operative time and surgical outcomes between salpingectomy and standard tubal interruption at the time of cesarean delivery.

Data Sources: PubMed, Medline, Google Scholar, Cochrane, and ClinicalTrials.gov were searched from inception until July 2019 for articles reporting outcomes for women undergoing salpingectomy during cesarean delivery compared with women undergoing standard sterilization methods. Read More

Diagnostics (Basel) 2020 Feb 13;10(2). Epub 2020 Feb 13.

Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Kentucky College of Medicine, Lexington, KY 40536, USA.

Ovarian cancer is the deadliest gynecologic malignancy, accounting for more than 14,000 deaths each year. With no established way to prevent or screen for it, the vast majority of cases are diagnosed as International Federation of Gynecology and Obstetrics (FIGO) stage III or higher. Individuals with germline mutations are at particularly high risk for epithelial ovarian cancer and have been the subject of many risk-reducing strategies. Read More

Am J Obstet Gynecol 2020 Feb 15. Epub 2020 Feb 15.

Department of Gynaecology and Obstetrics, Division of Gynaecologic Oncology, University of British Columbia, Vancouver BC, Canada.

Background: The fallopian tube may often be the site of origin for the most common and lethal form of ovarian cancer, high-grade serous ovarian cancer. As a result, many colleges of obstetrics and gynecology, which include the American College of Obstetricians and Gynecologists, are recommending surgical removal of the fallopian tube (bilateral salpingectomy) at the time of other gynecologic surgeries (particularly hysterectomy and tubal sterilization) in women at general population risk for ovarian cancer, collectively referred to as opportunistic salpingectomy. Previous research has illustrated no increased risk of complications after opportunistic salpingectomy. Read More

Minerva Ginecol 2019 Dec;71(6):404-411

Department of Gynecology, Obstetrics and Reproductive Medicine, University Hospital of Brest, Brest, France.

Background: Most of the clinical adverse events associated with the Essure® sterilization device have been attributed to incidents during and immediately after device placement (perforation, infection, expulsion). The aim of this study was to prospectively evaluate the prevalence and severity of non-gynecological clinical symptoms (e.g. Read More

Int J Cancer 2020 Feb 9. Epub 2020 Feb 9.

Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.

Ovarian cancer is the most fatal gynecologic malignancy (50% 5-year survival) due to a typically advanced stage at diagnosis and a high rate of recurrence. Chemoprevention options are limited, and few interventions have been shown to reduce cancer risk or mortality. Emerging data support the model that fallopian tubes are the site of origin for a proportion of high-grade serous cancers. Read More

Contraception 2020 Mar 9;101(3):178-182. Epub 2020 Jan 9.

Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. Electronic address:

Objective: To examine the effect of simethicone on reducing operative difficulty associated with bowel interference during minilaparotomy for postpartum modified Pomeroy partial salpingectomy.

Study Design: We enrolled 20-45-year-old women planning the procedure from March 2018 to February 2019. We randomized participants to chew simethicone 160 mg with water 50 mL 2-8 h before surgery or no treatment. Read More

Fertil Steril 2019 12;112(6):1144-1149

Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, the Netherlands.

Objective: To evaluate long-term patient satisfaction and symptoms after successful Essure sterilization and the influence of negative publicity on patients' opinion.

Design: Survey study.

Setting: Two nonacademic hospitals. Read More

Fertil Steril 2019 12;112(6):1051-1052

Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts.

J Minim Invasive Gynecol 2020 02 6;27(2):452-461. Epub 2019 Dec 6.

Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, (Ghiasi and Dr. Missmer); Department of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University, Grand Rapids (Drs. Kulkarni and Missmer), Michigan; Department of Epidemiology (Dr. Missmer), Harvard T.H. Chan School of Public Health, Boston, Massachusetts. Electronic address:

Objective: Current estimates of endometriosis prevalence and incidence are highly variable, leading to uncertainty regarding true endometriosis frequency or validity of quantified changes over time. We present a comprehensive review of the prevalence, incidence, and stage of endometriosis worldwide as reported over the past 30 years.

Data Sources: We conducted a systematic search of observational studies using the PubMed, Web of Science, EMBASE, and CINAHL databases to identify research papers published in English between January 1989 and June 2019. Read More

J Gynecol Obstet Hum Reprod 2020 Feb 5;49(2):101666. Epub 2019 Dec 5.

Department of Obstetrics and Gynecology, Tanta University, Tanta, Egypt.

Objective: To describe the feasibility and effectiveness of a novel technique for Hysteroscopic sterilization using the distal ends of a copper-T intrauterine device (Ostialoc).

Patient And Methods: A pilot study included 11 cases selected and informed about the technique at a tertiary University hospital. Through hysteroscopy, the knobs with the distal 1 cm of Copper-T intrauterine devices (Ostialoc) were inserted into the interstitial part of both fallopian tubes for the tubal block. Read More

Obstet Gynecol 2019 12;134(6):1178-1185

Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, and the Department of Obstetrics and Gynecology, Einstein Healthcare Network, Philadelphia, Pennsylvania.

Objective: To assess whether expedited scheduling for permanent contraception increases the proportion of patients completing interval tubal ligation within 6 months of delivery.

Methods: We randomly assigned patients with unfulfilled immediate postpartum tubal ligation requests to standard scheduling after a postpartum office visit or an expedited process in which we scheduled the interval tubal ligation surgery before discharge from the hospital. The primary outcome was proportion of participants undergoing tubal contraceptive procedures within 6 months of delivery. Read More

Obstet Gynecol 2019 12;134(6):1171-1177

Department of Obstetrics and Gynecology, MetroHealth Medical Center, the Cleveland Institute for Computational Biology, and the School of Medicine, Case Western Reserve University, Cleveland, Ohio.

Objective: To evaluate whether women with Medicaid are less likely than their privately insured counterparts to receive a desired sterilization procedure at the time of cesarean delivery.

Methods: This is a secondary analysis of a single-center retrospective cohort examining 8,654 postpartum women from 2012 to 2014, of whom 2,205 (25.5%) underwent cesarean delivery. Read More

J Matern Fetal Neonatal Med 2019 Nov 21:1-9. Epub 2019 Nov 21.

Department of Urology, Ningbo First Hospital, Ningbo, China.

This study aimed to evaluate the safety profile and feasibility of complete salpingectomy during cesarean delivery in women desiring permanent sterilization. We searched MEDLINE, Embase, and Cochrane Central Register of Controlled Trials from inception to July 2018. Study Selection: studies comparing total salpingectomy with tubal ligation during cesarean deliveries were included. Read More

Fertil Steril 2019 11;112(5):829-830

Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.

"An object in motion tends to remain in motion along a straight line unless acted upon by an outside force." -Isaac Newton. Read More

Immunol Cell Biol 2020 02 6;98(2):114-126. Epub 2019 Dec 6.

Departamento de Bioquímica, Biología Molecular (B) e Inmunología, Facultad de Medicina, IMIB-Arrixaca and Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, Murcia, Spain.

Macrophages play an important role in the inflammatory response. Their various biological functions are induced by different membrane receptors, including Toll-like receptors, which trigger several intracellular signaling cascades and activate the inflammasomes, which in turn elicit the release of inflammatory mediators such as cytokines. In this study, we present a novel method for the isolation of human mature peritoneal macrophages. Read More

Ann Biomed Eng 2020 Jul 7;48(7):2113-2131. Epub 2019 Nov 7.

Departments of Biomedical Engineering, Boston University, Boston, MA, 02215, USA.

The present state of reproductive and sexual health around the world reveals disparities in contraceptive use and effectiveness. Unintended pregnancy and sexually transmitted infection transmission rates remain high even with current prevention methods. The 20th century saw a contraceptive revolution with biomedical innovation driving the success of new contraceptive technologies with central design concepts and materials. Read More

BMC Pregnancy Childbirth 2019 Oct 30;19(1):393. Epub 2019 Oct 30.

Department of Obstetrics and Gynaecology, The First People's Hospital of Yunnan Province, No.157 of Jinbi road, Kunming, 650032, China.

Background: This study aims to investigate the influencing factors of pregnancy after laparoscopic oviduct anastomosis.

Methods: The data of 156 cases of laparoscopic oviduct anastomosis in our hospital were analyzed.

Results: The pregnancy rate decreased with age (P < 0. Read More

JAAPA 2019 Nov;32(11):37-41

Kelly M. Joy is an assistant professor in the PA program at Sullivan University and practices gynecologic oncology at Norton Cancer Institute, both in Louisville, Ky. The author has disclosed no potential conflicts of interest, financial or otherwise.

For patients with a known hereditary risk of ovarian cancer, primary prevention typically is accomplished through prophylactic bilateral salpingo-oophorectomy. However, some patients may wish to preserve fertility or delay menopause and its associated comorbidities. This article discusses appropriate methods of contraception for these patients. Read More

Case Rep Vet Med 2019 23;2019:7492910. Epub 2019 Sep 23.

Department of Obstetrics and Gynecology, Division of Minimally Invasive Gynecologic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC 27710, USA.

We present the case of Ruby, a 21-year-old hand-reared chimpanzee () who had an obstetric history significant for a premature stillborn infant that was conceived while on oral contraceptive pills, followed by a full term healthy delivery complicated by neonatal demise attributed to inappropriate maternal care. She was recommended for permanent sterilization due to her history of conception while on oral contraceptives. She underwent uncomplicated laparoscopic bilateral tubal ligation. Read More

Contraception 2020 Jan 23;101(1):40-45. Epub 2019 Oct 23.

Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, UHN 50, Portland, OR 97239, USA.

Objectives: To determine if women with tubal patency experience more fluid loss compared to those with bilateral tubal occlusion following intrauterine instillation of fluid via a balloon catheter.

Study Design: In this prospective cohort pilot study, we enrolled women with prior Essure® procedures and healthy controls from September 2016 to July 2017. We excluded women using an implant or intrauterine device, or with a prior cesarean delivery or permanent contraception procedures other than Essure®. Read More

Health Qual Life Outcomes 2019 Oct 15;17(1):154. Epub 2019 Oct 15.

Medical Education and Biostatistics, Department of Community Medicine, Public Health and Family Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan.

Background: Although Jordan has made progress in meeting Family Planning (FP) needs in last decades, recently the use of FP methods has declined significantly. Women's personal experiences, knowledge, and perceptions of how a FP method might impact their quality of life (QoL) can influence FP decisions. However, a lack of comprehensive understanding of the impact of modern FP methods on women's QoL continues to exist among Jordanian couples. Read More

J Laparoendosc Adv Surg Tech A 2019 Nov 14;29(11):1419-1426. Epub 2019 Oct 14.

Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.

The eoSim laparoscopic augmented reality (AR) simulator has instrument tracking capabilities that may be suitable for implementation in laparoscopic training. The objective is to assess face, content, and construct validity of this simulator for basic laparoscopic skills training. Participants were divided into three groups: novices (no training), intermediates (<50 laparoscopic procedures), and experts (>50 laparoscopic procedures). Read More

BMC Cancer 2019 Oct 11;19(1):942. Epub 2019 Oct 11.

Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran.

Background: Studies on relationship between tubal ligation and endometrial cancer have led to contradictory findings. In several studies, however, a reduced endometrial cancer risk was suggested following tubal ligation. Therefore, a systematic review and meta-analysis was conducted to examine the relationship between tubal ligation and endometrial cancer risk. Read More

J Obstet Gynaecol India 2019 Oct 20;69(5):462-466. Epub 2019 Mar 20.

2Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India.

Background: The patient scenario of a tertiary hospital changes with the implementation of various national programmes in any country. These programmes are conceived after understanding the felt need of the society. Though IUCD was available as an interval method of contraception in the past also and was meant to be effective for 10 years, the prerequisite to come again to the medical facility after 6 weeks of childbirth for insertion resulted in almost all patients to dropout and only the highly motivated would come on their own. Read More

J Matern Fetal Neonatal Med 2019 Oct 1:1-6. Epub 2019 Oct 1.

Department of Obstetrics and Gynecology, Mayo Clinic , Rochester , MN , USA.

The most common methods of sterilization during cesarean delivery rely on excision of a mid-segment of the fallopian tube. Contemporary data suggest ovarian cancers may originate in the fimbriae of the fallopian tube; therefore, a strategy of prophylactic salpingectomy (SL) has been adopted during gynecologic surgery. The purpose of this study was to evaluate the safety of SL compared to traditional mid-segment excision at time of cesarean and after vaginal delivery through change in perioperative hemoglobin (Hgb). Read More

Am J Obstet Gynecol 2020 03 14;222(3):273.e1-273.e9. Epub 2019 Sep 14.

Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA.

Background: Catholic and other faith-based hospitals often restrict family planning service provision based on institutional doctrine. Approximately 11% of US accredited obstetrics and gynecology residency programs occur at such hospitals, creating a challenge to educational leaders who must ensure comprehensive family planning training.

Objective: To evaluate and summarize family planning training at obstetrics and gynecology residency programs that are affiliated with Catholic and other faith-based hospitals that restrict reproductive services. Read More

Perspect Sex Reprod Health 2019 09 4;51(3):135-142. Epub 2019 Sep 4.

Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco.

Context: Catholic hospitals operate under directives that prohibit the provision of contraceptives, sterilization and abortion. Little research has examined women's awareness of these institutions' policies, which affects their ability to make informed decisions about where to seek care.

Methods: In 2016, some 1,430 women aged 18-45 were recruited from a U. Read More

Menopause 2019 09;26(9):1059-1061

University of Colorado School of Medicine, Aurora, Colorado.

Ovarian cancer is a common gynecologic malignancy with a poor prognosis and a lack of screening for women at average risk. Focus has therefore shifted toward strategies for risk-reducing surgery to prevent the development of ovarian cancer. This Practice Pearl describes the evidence supporting opportunistic salpingectomy at the time of hysterectomy or tubal sterilization as a strategy to reduce the risk of ovarian cancer, the risks and benefits associated with the procedure, and the methods used. Read More

Int J Surg Pathol 2020 Feb 25;28(1):99-101. Epub 2019 Jul 25.

Baylor Scott & White Medical Center, Temple, TX, USA.

A 0.2-cm intramural focus composed predominantly of myelocytes and metamyelocytes, many CD3+, CD43+ T-lymphocytes, scanty CD20+ B-lymphocytes, rare mast cells, but no eosinophils or myeloblasts was incidentally found in a ligation specimen of the left fallopian tube. The myeloid cells were positive for chloroacetate esterase, myeloperoxidase, myeloid marker BM2, and CD43, and they were negative for CD30, CD34, CD117, ERG, and TDT. Read More

Obes Surg 2019 12;29(12):4029-4035

Department of Pharmacotherapy, Epidemiology and Economics, Department of Pharmacy, University of Groningen, Groningen, The Netherlands.

Background: Reproductive-aged women are, according to American and European guidelines, recommended to avoid pregnancy for 12-24 months after bariatric surgery. Oral contraceptives may have suboptimal efficacy after malabsorptive bariatric procedures.

Aim: The aim of this study was to assess contraceptive use pre- and postoperatively in women who underwent bariatric surgery in two obesity clinics in The Netherlands. Read More

Obstet Gynecol 2019 06;133(6):1247-1254

Department of Obstetrics and Gynecology, and the Divisions of Epidemiology and Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.

Objective: To determine the effect of tubal ligation on age at natural menopause, as a marker of long-term ovarian function.

Methods: Three preexisting population-based cohorts were included in this cross-sectional study. Data from each cohort was analyzed separately. Read More

Female Pelvic Med Reconstr Surg 2020 Jun;26(6):401-406

Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Diego, La Jolla, CA.

Objectives: This review aims to (1) describe evidence supporting the fallopian tube as a site of high-grade serous carcinoma, (2) review literature regarding salpingectomy in high- and average-risk women, and (3) discuss feasibility and safety of salpingectomy in urogynecologic surgery.

Methods: PubMed and university library resources were used to retrieve relevant English-language publications via keyword search, including "ovarian cancer," "salpingectomy," "risk," "safety," "hysterectomy," "trends," "technique," and "urogynecology." Each publication was reviewed in detail and references incorporated, where relevant. Read More

J Minim Invasive Gynecol 2019 Nov - Dec;26(7):1233. Epub 2019 May 14.

Minimally Invasive Gynaecological Surgery Department, Naval Multi Speciality Hospital, Jalgaon, India (all authors).

Study Objective: To describe the technique of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy with the aid of transcervical instrumental uterine manipulation.

Design: Video with step by step description of technique.

Setting: Minimally Invasive Gynaecological Surgery Department, Naval Multi Speciality Hospital, Jalgaon, India. Read More

J Womens Health (Larchmt) 2019 06 17;28(6):812-819. Epub 2019 Apr 17.

1 Department of Sociology, Portland State University, Portland, Oregon.

Racial and ethnic disparities in rates of female sterilization, a prominent method of contraception, have been consistently observed for decades. Such disparities are also evident in subsequent desire for reversal of the procedure. Additional work is needed to better understand these patterns, particularly given the historical context of coercive sterilization patterns in minority and low-income women. Read More

Rev Saude Publica 2019 Apr 1;53:28. Epub 2019 Apr 1.

Universidade do Vale do Rio dos Sinos. Escola de Saúde. Programa de Pós-Graduação em Saúde Coletiva. São Leopoldo, RS, Brasil.

Objective: To describe the contraceptive methods used by adult women and the associated socioeconomic and demographic factors.

Methods: Population-based cross-sectional study with 20 to 49-year-old women from São Leopoldo, state of Rio Grande do Sul, in 2015. Three outcomes were considered to analyze the association with demographic and socioeconomic characteristics: use of oral contraceptive pills, tubal ligation and male condom. Read More

Syst Rev 2019 03 26;8(1):74. Epub 2019 Mar 26.

Contraception and Abortion Research Team-Groupe - de recherche sur l'avortement et la contraception (CART-GRAC), BC Women's Hospital, Vancouver, Canada.

Background: For women seeking permanent contraception, there are a variety of options available including surgical techniques such as tubal ligation or bilateral salpingectomy, in-clinic procedures such as hysteroscopic techniques using micro-inserts, or the levonorgestrel-releasing intrauterine contraceptive. Despite the various methods available for women who are seeking permanent contraception, there is not a review or decision-making tool that systematically brings together outcomes related to effectiveness, tolerability, adverse effects, non-contraceptive benefits, recovery, or accessibility: all of which are important for shared decision-making between patients and health care providers.

Methods: We registered our protocol [on Prospero: CRD42016038254] following PRISMA guidelines. Read More

Obstet Gynecol 2019 04;133(4):e279-e284

Opportunistic salpingectomy may offer obstetrician-gynecologists and other health care providers the opportunity to decrease the risk of ovarian cancer in their patients who are already undergoing pelvic surgery for benign disease. By performing salpingectomy when patients undergo an operation during which the fallopian tubes could be removed in addition to the primary surgical procedure (eg, hysterectomy), the risk of ovarian cancer is reduced. Although opportunistic salpingectomy offers the opportunity to significantly decrease the risk of ovarian cancer, it does not eliminate the risk of ovarian cancer entirely. Read More

Obstet Gynecol 2019 04;133(4):842-843

Opportunistic salpingectomy may offer obstetrician-gynecologists and other health care providers the opportunity to decrease the risk of ovarian cancer in their patients who are already undergoing pelvic surgery for benign disease. By performing salpingectomy when patients undergo an operation during which the fallopian tubes could be removed in addition to the primary surgical procedure (eg, hysterectomy), the risk of ovarian cancer is reduced. Although opportunistic salpingectomy offers the opportunity to significantly decrease the risk of ovarian cancer, it does not eliminate the risk of ovarian cancer entirely. Read More

JSLS 2019 Jan-Mar;23(1)

Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Background And Objectives: An increasing number of women are seeking removal of the Essure sterilization device due to symptoms including pelvic pain, abnormal bleeding, and allergic reaction. A fraction of these women also desire a future pregnancy and request sterilization reversal at the time of device removal. We present a novel technique for Essure reversal in addition to our experience with three cases. Read More

Best Pract Res Clin Obstet Gynaecol 2019 Aug 29;59:41-47. Epub 2019 Jan 29.

Human Development and Health Academic Unit, Faculty of Medicine, University of Southampton, Southampton, SO16 6YD, UK; Department of Obstetrics and Gynaecology, Princess Anne Hospital, Level F, Coxford Road, Southampton, SO16 5YA, UK.

Tubal factors account for approximately 25% of cases of infertility, and the most severe manifestation of tubal disease is hydrosalpinx, accounting for 10-30% of tubal diseases. Hydrosalpinx is a distension or dilatation of the fallopian tube in the presence of a distal tubal occlusion, and the most common cause is pelvic inflammatory disease. Women with hydrosalpinges have lower implantation and pregnancy rates in assisted reproductive technology (ART), due to a combination of mechanical and chemical factors thought to disrupt the endometrial environment. Read More

Obstet Gynecol 2019 03;133(3):592-594

Female and male sterilization are both safe and effective methods of permanent contraception used by more than 220 million couples worldwide (1). Approximately 600,000 tubal occlusions and 200,000 vasectomies are performed in the United States annually (2-4). For women seeking permanent contraception, sterilization obviates the need for user-dependent contraception throughout their reproductive years and provides an excellent alternative for those with medical contraindications to reversible methods. Read More

J Minim Invasive Gynecol 2019 Nov - Dec;26(7):1363-1368. Epub 2019 Feb 13.

Department of Obstetrics and Gynecology, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas (Drs. Kim, Berens, Chen, Gants, Swilinski, and Chang-Jackson).

Study Objective: To assess the change in the rate of laparoscopic salpingectomy for sterilization after the release of the November 2013 Society of Gynecologic Oncology Clinical Practice Statement and the January 2015 American College of Obstetricians and Gynecologists Committee Opinion: Salpingectomy for Ovarian Cancer Prevention. We hypothesized there would be an increase in salpingectomy as a percentage of total laparoscopic sterilizations performed without an increase in complications when compared with conventional bilateral tubal ligation (BTL).

Design: A retrospective cohort study. Read More

Cuad Bioet 2019 Jan-Apr;30(98):67-76

Academia Alphonsiana Roma. Italia.

The article presents a rare case of uterine rupture at the 19th week of gestation, in the presence of a scar after a caesarean section practiced two years earlier. The fetus was pulled out alive, but given the gestational age, died within a few minutes. The uterus was preserved, but the woman was advised to proceed with tubal ligation and, in any case, to absolutely avoid a new pregnancy. Read More