TY - JOUR
T1 - Postpartum Salpingectomy Compared with Standard Tubal Ligation after Vaginal Delivery
AU - Wagar, Matthew K.
AU - Godecker, Amy
AU - Landeros, Maria V.
AU - Williams, Makeba
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/3/1
Y1 - 2021/3/1
N2 - OBJECTIVE:To compare operative outcomes of postpartum salpingectomy and tubal ligation after vaginal delivery.METHODS:This retrospective cohort study identified patients who underwent tubal sterilization between January 1, 2009, and December 31, 2019, at a large academic hospital, using the electronic medical record. All patients who delivered vaginally and underwent tubal sterilization during their delivery admissions were included. The primary outcome was total operative time. Secondary outcomes included estimated blood loss, perioperative complications, and readmission within 6 weeks postpartum. Patients who underwent bilateral tubal ligation were compared with those who underwent bilateral salpingectomy using Pearson's χ2test, Fisher exact, and Student's t test.RESULTS:A total of 317 eligible patients were identified. One hundred and six (94%) salpingectomies were completed using a bipolar electrocautery device. Operative time was 3 minutes shorter in the salpingectomy group, 30 minutes (interquartile range 24-38) compared with 33.5 (26-42) minutes, P=.032. Patients who underwent salpingectomy were more likely to have estimated blood loss of 5 mL or less (our institutional shorthand for minimal blood loss) than women who underwent bilateral tubal ligation (78 [69%] vs 112 [55%], P=.015). There were no significant differences in perioperative complications between the groups.CONCLUSION:When using electrocautery, bilateral salpingectomy can be completed in the immediate postpartum period after vaginal delivery with equivalent operative times to bilateral tubal ligation.
AB - OBJECTIVE:To compare operative outcomes of postpartum salpingectomy and tubal ligation after vaginal delivery.METHODS:This retrospective cohort study identified patients who underwent tubal sterilization between January 1, 2009, and December 31, 2019, at a large academic hospital, using the electronic medical record. All patients who delivered vaginally and underwent tubal sterilization during their delivery admissions were included. The primary outcome was total operative time. Secondary outcomes included estimated blood loss, perioperative complications, and readmission within 6 weeks postpartum. Patients who underwent bilateral tubal ligation were compared with those who underwent bilateral salpingectomy using Pearson's χ2test, Fisher exact, and Student's t test.RESULTS:A total of 317 eligible patients were identified. One hundred and six (94%) salpingectomies were completed using a bipolar electrocautery device. Operative time was 3 minutes shorter in the salpingectomy group, 30 minutes (interquartile range 24-38) compared with 33.5 (26-42) minutes, P=.032. Patients who underwent salpingectomy were more likely to have estimated blood loss of 5 mL or less (our institutional shorthand for minimal blood loss) than women who underwent bilateral tubal ligation (78 [69%] vs 112 [55%], P=.015). There were no significant differences in perioperative complications between the groups.CONCLUSION:When using electrocautery, bilateral salpingectomy can be completed in the immediate postpartum period after vaginal delivery with equivalent operative times to bilateral tubal ligation.
UR - http://www.scopus.com/inward/record.url?scp=85101724357&partnerID=8YFLogxK
U2 - 10.1097/AOG.0000000000004285
DO - 10.1097/AOG.0000000000004285
M3 - Article
C2 - 33595245
AN - SCOPUS:85101724357
SN - 0029-7844
VL - 137
SP - 514
EP - 520
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 3
ER -