It is Time to Replace Postpartum Tubal Ligation with Bilateral Salpingectomy

Postpartum sterilization is a popular and effective method of contraception in the United States. As of 2012, postpartum sterilization was performed after 10% of all hospital deliveries, which equated to approximately 400,000 procedures annually [1,2]. Sterilization can be conveniently performed at the time of cesarean delivery or in the immediate postpartum period after a vaginal delivery [1]. Advantages include the technical ease, the one-time use of anesthesia in the case of a patient receiving an epidural during labor, the utilization of a current hospitalization, and the increased compliance, especially in low-income patients [3].

[1]  S. Richard,et al.  Postpartum Permanent Sterilization: Could Bilateral Salpingectomy Replace Bilateral Tubal Ligation? , 2016, Journal of minimally invasive gynecology.

[2]  E. Mat,et al.  Impact of interpregnancy interval on the subsequent risk of adverse perinatal outcomes , 2015, The journal of obstetrics and gynaecology research.

[3]  R. Gibb,et al.  Society of Gynecologic Oncology recommendations for the prevention of ovarian cancer , 2015, Cancer.

[4]  D. Huntsman,et al.  Costs and Benefits of Opportunistic Salpingectomy as an Ovarian Cancer Prevention Strategy , 2015, Obstetrics and gynecology.

[5]  D. Huntsman,et al.  Opportunistic salpingectomy: uptake, risks, and complications of a regional initiative for ovarian cancer prevention. , 2014, American journal of obstetrics and gynecology.

[6]  J. Wischhusen,et al.  The post-reproductive Fallopian tube: better removed? , 2011, Human reproduction.

[7]  M. Hensley.  Big costs for little gain in ovarian cancer. , 2011, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[8]  Eric J Feuer,et al.  Projections of the cost of cancer care in the United States: 2010-2020. , 2011, Journal of the National Cancer Institute.

[9]  Russin Ld.  Imaging of hydrosalpinx with torsion following tubal sterilization. , 1988 .

[10]  L. Russin.  Imaging of hydrosalpinx with torsion following tubal sterilization. , 1988, Seminars in ultrasound, CT, and MR.

[11]  B. Ottesen,et al.  Torsion of the fallopian tube following tubal sterilization by electrocoagulation via a laparoscope. , 1985, European journal of obstetrics, gynecology, and reproductive biology.