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Two Port Laparoscopic Salpingectomy - A Five Minute Procedure That Decreases the Risk of Ovarian Cancer for a Lifetime

Authors:
Greg Marchand at Marchand Institute for Minimally Invasive Surgery
Greg Marchand
  • Marchand Institute for Minimally Invasive Surgery
Katelyn Sainz at Washington University of Health and Science
Katelyn Sainz
  • Washington University of Health and Science
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Abstract

Two Port Laparoscopic Salpingectomy A Five Minute Procedure That Decreases the Risk of Ovarian Cancer for a lifetime. After the released of ACOG Committee Opinion #620 encouraging the removal of fallopian tubes at time of sterilization to reduce the risk of ovarian cancer, many of our practices have changed significantly. Whereas many surgeons were previously using filshie clips and cautery techniques for sterilizing females laparoscopically, this is no longer the best treatment for our patients. This short video describes the "Marchand Salpingectomy" where with 2 tiny incisions, one well below the pubic hairline and one through the bottom of the umbilicus, a surgeon can quickly, easily, and cosmetically sterilize a female and reduce her risk of ovarian cancer. Accepted for Presentation at the American College of Surgeons Clinical Congress 2017, October 22–26 in San Diego, CA. Full Video can be viewed at: https://youtu.be/Iqd4aFJOPQQ
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American College of Surgeons Clinical Congress 2017, San Diego, CA.
Video Title: Two Port Laparoscopic Salpingectomy - A Five Minute Procedure
That Decreases the Risk of Ovarian Cancer for a Lifetime
Video Session: VE11 - Obstetrics and Gynecology
Date and Time: Tuesday, October 24, 2017 ; 9:45-11:15am (your presentation will
be approximately 10-12 minutes as listed below in the preliminary outline)
Coordinator(s): Camran R. Nezhat MD FACS,Farr R. Nezhat MD, FACOG,FACS
Reference Number: VS2017-69994
Co-Authors (if applicable): Gregory J. Marchand, MD FACS; Katelyn M. Sainz, MS3;
Video Webpage: https://youtu.be/Iqd4aFJOPQQ
... The procedure can be performed with reliably low blood loss, and some researchers report operative times as low as 5 minutes. 15 This compares well to many variations of tubal-occlusion techniques, which may require larger, more-invasive entry ports. Some examples include the 8-mm devices required to place Filshie TM and Hulka TM clips for laparoscopic tubal occlusion. ...
Combination of Laparoscopic Salpingectomy and Endometrial Ablation: A Potentially Underused Procedure
Article
Full-text available
  • Sep 2020
Despite the advantages of a decreased risk of epithelial-cell ovarian cancer and the extremely minimally invasive nature of the procedure, combined salpingectomy and endometrial ablation is a potentially underused procedure in the United States to treat abnormal uterine bleeding and desired sterilization. The lack of utilization of this combined procedure might be based on factors other than clinical considerations, including slow acceptance and adoption of Committee Opinions expressing the value of salpingectomy over sterilization. Committee Opinions and randomized clinical trials have demonstrated the benefit of salpingectomy for sterilization and epithelial-cancer risk reduction, and there could be an additional protection against postablation tubal sterilization syndrome. This Commentary discusses the advantages and rationale for consideration of expanding usage of the combined approach.
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