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1007 Would prophylactic salpingectomy be possible during bariatric surgery? (Can we see the tubes?)
  1. Heidrun Sagmeister1,
  2. Daniela Pucher1,
  3. Silvia Oswald2,
  4. Friedrich Tadler2,
  5. Johannes Strutzmann3,
  6. Thomas Aigmüller3 and
  7. Karl Tamussino1
  1. 1LKH- Universitätsklinikum Graz, Graz, Austria
  2. 2BHB Graz, Graz, Austria
  3. 3LKH Leoben, Leoben, Austria


Introduction/Background Prophylactic bilateral salpingectomy (PBS) for the prevention of ovarian cancer is recommended and established at gynecologic surgery. Non-gynecologic laparoscopic procedures would be other potential opportunities to offer PBS. We evaluated whether the tubes could be visualized (and thus potentially removed) at laparoscopic bariatric surgery.

Methodology 31 women (mean 38 yrs (20–59); mean BMI 42 (34–50)) undergoing a laparoscopic bariatric procedure were placed in Trendelenburg position after completion of the bariatric phase of the procedure. Then visualization and access to the tubes was attempted (without placing new ports). We assessed the rate of visualization of the tubes and the time taken therefore.

Results The adnexa could be visualized and reached in 26/31 (84%) of the women. In 1 woman (3%), only one adnexa was visible. Reaching the tubes took an average of 3.5 min. (1–8). Higher BMI and previous pelvic surgery were associated with a lower rate of visualization.

Conclusion Access to (and potential removal) of the tubes at bariatric surgery to prevent future ovarian cancer appears feasible.

Disclosures No disclosures.

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