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Because the distal fallopian tubes are a source of ovarian cancer, professional organizations have recommended that surgeons consider performing bilateral salpingectomy (BS) at the time of hysterectomy with ovarian conservation (and also utilizing BS instead of tubal ligation for sterilization). Investigators queried a U.S. database of hospital admissions from 2008 through 2013 to assess how commonly BS was performed at hysterectomy for benign disease and to evaluate the safety of the procedure. The investigators also examined tubal sterilization, but too few admissions were included in the database to make meaningful observations.
During the study period, the annual number of inpatient hysterectomies fell by 49% (from 438,199 to 225,005). I…