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With more gynecologic surgeons performing bilateral salpingectomy at the time of tubal sterilization and hysterectomy, the American College of Obstetricians and Gynecologists has published guidance regarding this practice in women at average risk for ovarian cancer, an uncommon but lethal malignancy. Key points are as follows:
When hysterectomy with ovarian conservation is planned, surgeon and patient should discuss potential benefits of salpingectomy, including the possibility that this procedure might lower risk for ovarian cancer.
When laparoscopic sterilization is planned, surgeon and patient should discuss salpingectomy as one possible approach.
In women who are candidates for vaginal hysterectomy, a laparoscopic route should not be emplo…