PT  - JOURNAL ARTICLE
AU  - C Hütter
AU  - K Tamussino
AU  - K Simon
AU  - M Kratky
AU  - C Mutz-Eckhart
AU  - M Blatt-Gunegger
AU  - S Klammer
AU  - C Bermann
AU  - A Huber
AU  - V Lessiak
TI  - 400 Implementation and feasibility of prophylactic bilateral salpingectomy at Benign, minimally invasive hysterectomy in Styria (Austria)
AID  - 10.1136/ijgc-2021-ESGO.397
DP  - 2021 Oct 01
TA  - International Journal of Gynecologic Cancer
PG  - A232--A232
VI  - 31
IP  - Suppl 3
4099  - http://ijgc.bmj.com/content/31/Suppl_3/A232.1.short
4100  - http://ijgc.bmj.com/content/31/Suppl_3/A232.1.full
SO  - Int J Gynecol Cancer2021 Oct 01; 31
AB  - Introduction/Background*Numerous societies, including the Austrian Society of Obstetrics & Gynecology (OEGGG) in 2015, have recommended prophylactic bilateral salpingectomy (PBS) at the time of benign gynecologic surgery with the intent of ovarian cancer risk reduction. We evaluated implementation and feasibility of PBS at benign, minimally invasive hysterectomy in public hospitals in the Austrian province of Styria in 2014 vs. 2018 (before and after the official recommendation in 2015).Methodology We reviewed surgical consent forms and operative notes of patients undergoing vaginal or laparoscopic hysterectomy for benign indications in Styria in 2014 and 2018. Ethics approval was obtained.Result(s)*1,256 benign, minimally invasive hysterectomies were identified (580 in 2014, 676 in 2018). 68% of patients were consented for PBS in 2014 and 94% in 2018 (P < 0.05). The PBS rate in consented patients was 88% in 2014 and 83% in 2018 (n.s.). In 2018 PBS was completed more often at laparoscopic than at vaginal hysterectomy (95% vs. 74%, P < 0.05). Age and parity were the major influencing factors for success of PBS.Conclusion*PBS at minimally invasive hysterectomy was widely performed in Styria even before the official recommendation in 2015, and increased thereafter to 83% overall in 2018. PBS was accomplished somewhat more often at laparoscopic than at vaginal hysterectomy.