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Observational studies have shown that opportunistic salpingectomy performed at the time of other pelvic operations may reduce risk for ovarian cancer. Cesarean delivery with planned surgical sterilization represents such an operation. In two randomized trials, investigators explored the feasibility of opportunistic salpingectomy versus tubal ligation in the setting of cesarean delivery. They compared operative times and surgical completion success rates for the two procedures.
In the first trial, 80 women were randomized to bilateral salpingectomy or bilateral tubal ligation; for salpingectomy, the technique involving clamping, cutting, and surgical suturing. Operative time was 15 minutes longer with salpingectomy than with tubal ligation (P…