RT Journal Article
SR Electronic
T1 400 Implementation and feasibility of prophylactic bilateral salpingectomy at Benign, minimally invasive hysterectomy in Styria (Austria)
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP A232
OP A232
DO 10.1136/ijgc-2021-ESGO.397
VO 31
IS Suppl 3
A1 C Hütter
A1 K Tamussino
A1 K Simon
A1 M Kratky
A1 C Mutz-Eckhart
A1 M Blatt-Gunegger
A1 S Klammer
A1 C Bermann
A1 A Huber
A1 V Lessiak
YR 2021
UL http://ijgc.bmj.com/content/31/Suppl_3/A232.1.abstract
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.