Maryns A S, Makar A, Hamerlynck T, De Vree B, Tummers P, Tjalma W A A
Facts Views Vis Obgyn. 2021 Sep;13(3):241-249. doi: 10.52054/FVVO.13.3.029.
The VVOG (Flemish Society of Obstetrics and Gynaecology) published a consensus statement promoting opportunistic bilateral salpingectomy (OBS).
The aim of the study was to obtain insight into the current opinion and general practice of Flemish gynaecologists to counsel and perform OBS.
A questionnaire was distributed to Flemish gynaecologists three months following publication.
The drawbacks and incentives to counsel and perform OBS were questioned.
Complete response rate was obtained from 99 gynaecologists (17%) and 37 trainees (19%). The majority of respondents (77%) always counselled for OBS in patients scheduled for hysterectomy without oophorectomy. Eighteen per cent counselled only above a certain age cut off and/or if patient was already menopausal. The most important incentive to counsel in cases of hysterectomy by the abdominal approach and vaginal hysterectomy (VH) was the opportunity to prevent ovarian cancer. The yet-undetermined risk of premature ovarian failure was mentioned as the most important barrier in counselling women for OBS in those undergoing hysterectomy by the abdominal approach. For VH, the respondents saw the risk of complications and increased surgical time as the most important barriers. Sixty-one percent of gynaecologists preferred to perform bilateral salpingectomy as sterilisation method.
Our study suggests that the concept of OBS is already well known in Flanders. There is a positive attitude towards the routine implementation of OBS, although some barriers and doubts about an age cut-off still exist in practice.
佛兰芒妇产科学会（VVOG）发表了一份共识声明，提倡进行机会性双侧输卵管切除术（OBS）。
本研究旨在深入了解佛兰芒妇科医生在咨询和实施OBS方面的当前观点和一般做法。
在该声明发表三个月后，向佛兰芒妇科医生发放了一份问卷。
对咨询和实施OBS的弊端及诱因进行了询问。
99名妇科医生（17%）和37名实习生（19%）给出了完整回复。大多数受访者（77%）在为计划行子宫切除术但不切除卵巢的患者提供咨询时总是建议进行OBS。18%的受访者仅在特定年龄界限以上和/或患者已绝经时才提供咨询。在经腹子宫切除术和阴道子宫切除术（VH）的情况下，建议进行OBS的最重要诱因是预防卵巢癌的机会。对于经腹子宫切除术的患者，尚未确定的过早卵巢功能衰竭风险被认为是为其提供OBS咨询时最重要的障碍。对于VH，受访者认为并发症风险和手术时间增加是最重要的障碍。61%的妇科医生更倾向于进行双侧输卵管切除术作为绝育方法。
我们的研究表明，OBS的概念在佛兰德斯已经广为人知。尽管在实践中对于年龄界限仍存在一些障碍和疑虑，但对于OBS的常规实施仍持积极态度。
