Laparoscopic Cholecystectomy, Opportunistic Salpingectomy, Prophylactic Salpingectomy
Conditions
Brief summary
Prophylactic salpingectomy (also called opportunistic, risk-reducing or incidental salpingectomy) has been advocated at the time of gynecologic surgery to reduce the risk of serous ovarian cancer. This study explores the acceptability and feasibility of opportunistic salpingectomy at the time of elective laparoscopic cholecystectomy (LCHE).
Detailed description
Many serous ovarian cancers are now thought to originate in the fimbria of the fallopian tubes. This has led a number of professional societies worldwide to recommend consideration of prophylactic salpingectomy at the time of elective gynecologic surgery or tubal sterilization. This study explores the acceptability and feasibility of incidental (opportunistic, risk-reducing, prophylactic) salpingectomy at the time of a common nongynecologic procedure in women, i.e. elective laparoscopic cholecystectomy (LCHE). The study addresses whether women ≥45 years would accept opportunistic salpingectomy and the technical feasibility (time, port placement, complications) in women who consented to salpingectomy.
Interventions
PROCEDURESalpingectomy
Sponsors
Krankenhaus der Barmherzigen Brüder Graz
Krankenhaus der Elisabethinen Graz
Landeskrankenhaus Feldbach
LKH Hartberg
Krankenhaus der Barmherzigen Brüder St. Veit/Glan
Medical University of Graz
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
45 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Scheduled (elective) laparoscopic cholecystectomy for a benign indication * Age \>45 years * Consent
Exclusion criteria
* Age \<45 years * Desire to preserve fertility * Cholecystectomy for malignant disease * Extensive previous abdominal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of opportunistic bilateral salpingectomy at the time of laparoscopic cholecystectomy | At time of laparoscopic cholecystectomy surgery | Evaluation of how often opportunistic bilateral salpingectomy can be accomplished at the time of laparoscopic cholecystectomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient-recorded outcome | Preop. and 1 year | Bliem Questionnaire |
| Port repositioning | At surgery | Rate of port repositioning |
| Complications | 30 days | Number of complications due to salpingectomy |
| Time | At the time of surgery | Time (in minutes) from completion of cholecystectomy to completion of bilateral salpingectomy |
Countries
Austria
Outcome results
None listed