Gynecological Department, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France.
Obstet Gynecol. 2018 Aug;132(2):271-273. doi: 10.1097/AOG.0000000000002746.
Opportunistic salpingectomy at the time of hysterectomy is currently recommended to reduce the lifetime risk of ovarian cancer. The vaginal route is least invasive, but surgeons sometimes may choose to perform this procedure laparoscopically or robotically when anticipating adnexal surgery as a result of limited visibility.
We describe a surgical technique to make salpingectomy by the vaginal route easier and more feasible. Posterior rotation of the uterus provides excellent access to the tube, which can easily be removed before separation of the adnexa.
We have performed more than 60 vaginal hysterectomies using this technique. Salpingectomy was always feasible.
We demonstrate a simple technique to safely perform opportunistic salpingectomy during a vaginal hysterectomy.
目前推荐在子宫切除术中进行机会性输卵管切除术，以降低终生卵巢癌风险。阴道途径是最具侵袭性的，但由于可视性有限，外科医生有时可能会选择在预计进行附件手术时通过腹腔镜或机器人进行此手术。
我们描述了一种通过阴道途径进行输卵管切除术的手术技术，使手术更容易和更可行。子宫的后旋提供了极好的进入管的通道，在分离附件之前，可以轻松地将其切除。
我们已经使用这种技术进行了 60 多次阴道子宫切除术。输卵管切除术总是可行的。
我们展示了一种简单的技术，可在阴道子宫切除术中安全地进行机会性输卵管切除术。
