Comparison of Two Salpingectomy Techniques for Sterilization at the Time of Cesarean Delivery

Description

One in three women of reproductive age utilize tubal sterilization for contraception, and sterilization is often requested at time of cesarean delivery. Complete salpingectomy for the purpose of permanent sterilization at the time of cesarean birth is increasingly being performed worldwide. A preferred complete salpingectomy technique for the purpose of sterilization at the time of cesarean delivery has not emerged in current practice. The objective is to compare short-term clinical outcomes and cost of salpingectomy using a hand-held bipolar energy instrument with those of traditional suture ligation. This retrospective cohort study will be conducted from 2017-2023 at a single tertiary care hospital. The investigators hypothesize that bipolar energy instrument use will not significantly improve clinical outcomes.

Conditions

Permanent Sterilization, Pregnancy Related

Study Overview

Study Details

Study overview

One in three women of reproductive age utilize tubal sterilization for contraception, and sterilization is often requested at time of cesarean delivery. Complete salpingectomy for the purpose of permanent sterilization at the time of cesarean birth is increasingly being performed worldwide. A preferred complete salpingectomy technique for the purpose of sterilization at the time of cesarean delivery has not emerged in current practice. The objective is to compare short-term clinical outcomes and cost of salpingectomy using a hand-held bipolar energy instrument with those of traditional suture ligation. This retrospective cohort study will be conducted from 2017-2023 at a single tertiary care hospital. The investigators hypothesize that bipolar energy instrument use will not significantly improve clinical outcomes.

Comparison of Two Salpingectomy Techniques for Sterilization at the Time of Cesarean Delivery

Comparison of Two Salpingectomy Techniques for Sterilization at the Time of Cesarean Delivery

Condition
Permanent Sterilization
Intervention / Treatment

-

Contacts and Locations

Falls Church

Inova Fairfax Medical campus, Falls Church, Virginia, United States, 22042

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * request for permanent sterilization at the time of cesarean delivery
  • * 24 weeks' gestation or beyond
  • * 21 years old or older
  • * Medicaid sterilization consent per Virginia Department of Medical Assistance Services regulations (if Medicaid recipient).
  • * vaginal delivery
  • * history of prior adnexal surgery (such as prior bilateral tubal ligation or unilateral salpingectomy oophorectomy)
  • * placenta accreta spectrum
  • * placenta previa
  • * history of bleeding diathesis.

Ages Eligible for Study

21 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Inova Health Care Services,

Jean W Thermolice, MD, PRINCIPAL_INVESTIGATOR, Inova Fairfax Medical Campus

Study Record Dates

2024-12