Whether or not research is actually minimal, postpartum salpingectomy and you can salpingectomy at the lifetime of cesarean birth are available feasible and you can safer

The fresh new physician and you may patient is to talk about the prospective advantages of the fresh new removal of the brand new fallopian tubes throughout a good hysterectomy in women from the populace likelihood of ovarian cancer who aren’t that have a keen oophorectomy. Counseling women that try undergoing regimen pelvic functions concerning the threats and you will great things about salpingectomy will include the best agree talk about the latest character from oophorectomy and you can two-sided salpingo-oophorectomy. Two-sided salpingo-oophorectomy that causes surgical menopausal reduces the risk of ovarian cancer but may improve chance of heart disease, cancer besides ovarian disease, osteoporosis, intellectual handicap, as well as-trigger mortality 29. The possibility of ovarian cancer immediately following hysterectomy having ovarian preservation try 0.1–0.75% 31. Death of ovarian cancer tumors immediately after tubo–ovarian maintenance about Nurses’ Health Study is 0.03% 31. The key benefits of ovarian maintenance drop off as we grow old, and there’s absolutely nothing work for immediately after years 65 ages thirty-two. Given latest concepts from ovarian carcinogenesis, ovarian maintenance and you may salpingectomy could possibly get show a much better alternative than simply two-sided salpingo-oophorectomy to have ovarian disease risk cures for almost all ladies in the process of other pelvic procedures to own ordinary state. (más…)