Matches in SemOpenAlex for { <https://semopenalex.org/work/W2975565405> ?p ?o ?g. }
Showing items 1 to 91 of
91
with 100 items per page.
- W2975565405 abstract "The most common methods of sterilization during cesarean delivery rely on excision of a mid-segment of the fallopian tube. Contemporary data suggest ovarian cancers may originate in the fimbriae of the fallopian tube; therefore, a strategy of prophylactic salpingectomy (SL) has been adopted during gynecologic surgery. The purpose of this study was to evaluate the safety of SL compared to traditional mid-segment excision at time of cesarean and after vaginal delivery through change in perioperative hemoglobin (Hgb).We retrospectively evaluated patients undergoing sterilization concurrent with cesarean delivery or in the post-vaginal delivery period between 1 January 2015 and 31 December 2017 in the Mayo Clinic Health System; a community-based practice. In order to test for non-inferiority, 30 patients in each arm (tubal ligation (TL) and SL) were required to detect a pre- and post-operative Hgb difference of 0.5 mg/dL between groups with a power of 80%. Exclusion criteria included: age <18 years, BMI >50 kg/m2, endometriosis, other concurrent surgical procedures, bleeding disorders, postpartum hemorrhage due to atony, trial of labor after cesarean (TOLAC), and the presence of ovarian masses.One hundred fifty-two patients met inclusion criteria. There was no evidence of inferiority in either the post-vaginal delivery or the cesarean groups with a mean difference in pre- and post-op Hgb of 0.18 mg/dL (p = .99) post-cesarean and 0.04 mg/dL post-vaginal delivery with less reduction in Hgb from SL. The mean length of the procedure was 10.0 and 9.9 min (p = .005) longer for SL procedures amongst cesarean and postpartum procedures, respectively. Subgroup analyses did not demonstrate differences in blood loss between different techniques. Clamp-cut-tie techniques took longer than all other procedures in both groups.This study provides evidence that the practice of salpingectomy at the time of cesarean and post-vaginal delivery may be safe and should form the basis of prospective trials." @default.
- W2975565405 created "2019-10-03" @default.
- W2975565405 creator A5009618708 @default.
- W2975565405 creator A5025103515 @default.
- W2975565405 creator A5056239333 @default.
- W2975565405 creator A5059974064 @default.
- W2975565405 creator A5068887063 @default.
- W2975565405 date "2019-10-01" @default.
- W2975565405 modified "2023-10-16" @default.
- W2975565405 title "Safety of salpingectomy at time of delivery" @default.
- W2975565405 cites W1995847668 @default.
- W2975565405 cites W2095085832 @default.
- W2975565405 cites W2112303498 @default.
- W2975565405 cites W2119913499 @default.
- W2975565405 cites W2561401993 @default.
- W2975565405 cites W2568372038 @default.
- W2975565405 cites W2734654843 @default.
- W2975565405 cites W2761925416 @default.
- W2975565405 cites W4205174351 @default.
- W2975565405 cites W4237170096 @default.
- W2975565405 cites W4240098870 @default.
- W2975565405 doi "https://doi.org/10.1080/14767058.2019.1671328" @default.
- W2975565405 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31544559" @default.
- W2975565405 hasPublicationYear "2019" @default.
- W2975565405 type Work @default.
- W2975565405 sameAs 2975565405 @default.
- W2975565405 citedByCount "2" @default.
- W2975565405 countsByYear W29755654052021 @default.
- W2975565405 countsByYear W29755654052022 @default.
- W2975565405 crossrefType "journal-article" @default.
- W2975565405 hasAuthorship W2975565405A5009618708 @default.
- W2975565405 hasAuthorship W2975565405A5025103515 @default.
- W2975565405 hasAuthorship W2975565405A5056239333 @default.
- W2975565405 hasAuthorship W2975565405A5059974064 @default.
- W2975565405 hasAuthorship W2975565405A5068887063 @default.
- W2975565405 hasConcept C131872663 @default.
- W2975565405 hasConcept C141071460 @default.
- W2975565405 hasConcept C2775883341 @default.
- W2975565405 hasConcept C2776018949 @default.
- W2975565405 hasConcept C2778408130 @default.
- W2975565405 hasConcept C2779065011 @default.
- W2975565405 hasConcept C2779076696 @default.
- W2975565405 hasConcept C2779234561 @default.
- W2975565405 hasConcept C2779522080 @default.
- W2975565405 hasConcept C2780164438 @default.
- W2975565405 hasConcept C2908647359 @default.
- W2975565405 hasConcept C29456083 @default.
- W2975565405 hasConcept C2986817661 @default.
- W2975565405 hasConcept C3020128735 @default.
- W2975565405 hasConcept C31174226 @default.
- W2975565405 hasConcept C54355233 @default.
- W2975565405 hasConcept C71924100 @default.
- W2975565405 hasConcept C86803240 @default.
- W2975565405 hasConcept C99454951 @default.
- W2975565405 hasConceptScore W2975565405C131872663 @default.
- W2975565405 hasConceptScore W2975565405C141071460 @default.
- W2975565405 hasConceptScore W2975565405C2775883341 @default.
- W2975565405 hasConceptScore W2975565405C2776018949 @default.
- W2975565405 hasConceptScore W2975565405C2778408130 @default.
- W2975565405 hasConceptScore W2975565405C2779065011 @default.
- W2975565405 hasConceptScore W2975565405C2779076696 @default.
- W2975565405 hasConceptScore W2975565405C2779234561 @default.
- W2975565405 hasConceptScore W2975565405C2779522080 @default.
- W2975565405 hasConceptScore W2975565405C2780164438 @default.
- W2975565405 hasConceptScore W2975565405C2908647359 @default.
- W2975565405 hasConceptScore W2975565405C29456083 @default.
- W2975565405 hasConceptScore W2975565405C2986817661 @default.
- W2975565405 hasConceptScore W2975565405C3020128735 @default.
- W2975565405 hasConceptScore W2975565405C31174226 @default.
- W2975565405 hasConceptScore W2975565405C54355233 @default.
- W2975565405 hasConceptScore W2975565405C71924100 @default.
- W2975565405 hasConceptScore W2975565405C86803240 @default.
- W2975565405 hasConceptScore W2975565405C99454951 @default.
- W2975565405 hasLocation W29755654051 @default.
- W2975565405 hasLocation W29755654052 @default.
- W2975565405 hasOpenAccess W2975565405 @default.
- W2975565405 hasPrimaryLocation W29755654051 @default.
- W2975565405 hasRelatedWork W14139871 @default.
- W2975565405 hasRelatedWork W15773797 @default.
- W2975565405 hasRelatedWork W16697485 @default.
- W2975565405 hasRelatedWork W20967069 @default.
- W2975565405 hasRelatedWork W21028634 @default.
- W2975565405 hasRelatedWork W21868381 @default.
- W2975565405 hasRelatedWork W2282001 @default.
- W2975565405 hasRelatedWork W3003543 @default.
- W2975565405 hasRelatedWork W10466366 @default.
- W2975565405 hasRelatedWork W19095516 @default.
- W2975565405 isParatext "false" @default.
- W2975565405 isRetracted "false" @default.
- W2975565405 magId "2975565405" @default.
- W2975565405 workType "article" @default.