Evidence map›Paper›PMID 28707208›Full record

ArticleInternational urogynecology journal2018

Opportunistic salpingectomy during vaginal hysterectomy for a benign pathological condition.

Gery Lamblin, Capucine Meysonnier, Stéphanie Moret, Béatrice Nadaud, Georges Mellier, Gautier Chene

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Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Hysterectomy with opportunistic salpingectomy versus hysterectomy alone.The Cochrane database of systematic reviews · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Gery LamblinDepartment Gynecology, Hôpital Femme Mère Enfant, HFME, Lyon CHU, Lyon, France.
Capucine MeysonnierDepartment Gynecology, Hôpital Femme Mère Enfant, HFME, Lyon CHU, Lyon, France.
Stéphanie MoretDepartment Gynecology, Hôpital Femme Mère Enfant, HFME, Lyon CHU, Lyon, France.
Béatrice NadaudDepartment of Pathology, Centre Hospitalier Est, Lyon CHU, Lyon, France.
Georges MellierDepartment Gynecology, Hôpital Femme Mère Enfant, HFME, Lyon CHU, Lyon, France.
Gautier CheneDepartment Gynecology, Hôpital Femme Mère Enfant, HFME, Lyon CHU, Lyon, France. chenegautier@yahoo.fr.ORCID http://orcid.org/0000-0001-9203-6673
Hôpital Femme Mère Enfant · FRHôpital Lyon Sud · FRUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective was to evaluate the surgical feasibility of opportunistic salpingectomy or salpingo-oophorectomy during benign vaginal hysterectomy (HV) and the prevalence of occult tubal lesions.

methodsIn this prospective study from 1 September 2013 to 1 November 2015, the prevalence of bilateral salpingectomy with or without ovariectomy and the prevalence of histopathological and immunohistochemical tubal abnormalities were assessed.

resultsA total 115 patients were included. Bilateral salpingectomy was performed in 85 patients (73.92%; group A) and was technically impossible in 30 patients (26.08%; group B). Older patients (62.9 vs 57.5 years, p = 0.009), menopausal status (83.33% vs 62.35%, p = 0.03) and elevated BMI (27.58 vs 25.05 p = 0.03) were statistically associated with failure of salpingectomy. There was only one case of postoperative hemorrhage in group A. There was no difference with regard to intra- or postoperative complications, blood loss, and operating time between the two groups. Among the 67 fallopian tubes analyzed with a validated histopathological protocol, there were 8 (11.94%) immunohistochemical abnormalities with a "p53 signature."

conclusionsWith the recent demonstration of a tubal origin of most ovarian cancer, opportunistic salpingectomy could be a theoretically relevant prevention strategy. Bilateral salpingectomy could be performed during benign vaginal hysterectomy by experienced surgeons. The advantages and disadvantages of exclusive salpingectomy during pelvic floor surgery should be discussed with the patients.

Indexed as

Hysterectomy, VaginalOvariectomySalpingectomyAdultFallopian Tube DiseasesFemaleHumansPrevalenceProspective StudiesTreatment OutcomeOvarian cancerp53 signatureProphylactic salpingectomySerous tubal intraepithelial carcinomaVaginal hysterectomy

Identifiers

PMID28707208
OpenAlexW2735419142

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.