Retrograde salpingo-oophorectomy technique in addition to vaginal hysterectomy as a preventative approach against tuba-ovarian cancer

Kaba M.

EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, vol.38, no.6, pp.929-932, 2017 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 38 Issue: 6
  • Publication Date: 2017
  • Doi Number: 10.12892/ejgo3460.2017
  • Journal Name: EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.929-932
  • Keywords: Vaginal hysterectomy, Retrograde salpingo-oophorectomy technique, Ovarian cancer, Pelvic organ prolapse, TIME, REMOVAL
  • Akdeniz University Affiliated: Yes

Abstract

Purpose: The aim of the study was to define and evaluate retrograde salpingo-oophorectomy (SO) technique in addition to vaginal hysterectomy (VH). Materials and Methods: After VH was completed, the round ligament was identified in the uterine fundal structure. clamped, cut, and sutured. The two folds of the broad ligament were dissected in a retrograde manner towards the infundibula pelvic ligament (LPL), staying close to the utero-ovarian ligament and mesovarium. Then the IPL was identified, clamped, cut, and sutured. Data of patients were evaluated retrospectively. Results: The study included seven patients who underwent VH and bilateral SO with a diagnosis of pelvic organ prolapse (POP). The author was able to perform bilateral SO in addition to VII without complications. Conclusion: Performing a SO during VH with retrograde SO technique is a simple and safe procedure that can be applied by every gynecologist. Prospective large sample size studies are needed to evaluate applicability of the new SO technique.