Should we routinely remove the F tubes routinely at tubectomy

Salpingectomy as standard at hysterectomy? A Danish cohort study, 1977–2010 Can preserved F tube later initiate epithelial Ov cancer?? I don’t know members opinion pl.What happens when F tube / tubes are preserved in a case of TAH for beningn diseases? Hysterectomy is a common gynecological surgical procedure. Women undergoing hysterectomy with retained fallopian tubes or sterilization have at least a doubled risk of subsequent salpingectomy. Removal of the fallopian tubes at hysterectomy, based on these belief is should therefore be recommended. The majority of hysterectomies are therefore rightly performed are without  retaining  fallopian tubes. We must keep in mind that   Tubal pathology can occur after both procedures.

·         Women undergoing hysterectomy or even puerperal sterilisation have at least a doubled risk of subsequent salpingectomy(due to formation of hydrosalpinx)  compared with women who have not undergone a hysterectomy or a sterilisation.

·         removal of the fallopian tubes at a hysterectomy should be recommended.

·         A large national population-based study.

·         .

Point 1:-Malignant tumours of the fallopian tube are rare.. One hypothesis suggests that serous epithelial carcinomas originating from the distal end of the fallopian tube may be the origin of some ovarian cancers and/or primary peritoneal cancers. Point 2 :-Hydrosalpinx and other tubal pathology with succeeding salpingectomy can also occur after sterilisation, which is the most frequently applied contraceptive method worldwide. United Nations statistics estimate an annual 200 million sterilised women of reproductive age. Surgical techniques of sterilisation vary worldwide..  However, laparoscopic coagulation of the isthmic portion is generally preferred. In Denmark, ligation with clips is the most frequently used technique.. whereby the fimbriated end of the fallopian tube is left unaffected. This implies a risk of subsequent pathology in the tubes.

Our hypothesis is that there is a potential risk for a second major surgery after both hysterectomy and sterilisation with retained fallopian tubes.

1.                  Rikke Guldberg1,2, 

2.                  Sonja Wehberg2, 

3.                  Charlotte Wessel Skovlund3, 

4.                  Ole Mogensen1, 

5.                  Øjvind Lidegaard3

Author affiliations