TY - JOUR AU - São Pedro, Verónica AU - Pires, Rafaela AU - Santos, Fernanda AU - Tovim Rodrigues, Carla AU - Santos Silva, Isabel AU - Almeida, Maria do Céu AU - Águas, Fernanda PY - 2021/03/31 Y2 - 2024/03/29 TI - Opportunistic Salpingectomy for Permanent Contraception: A Cross Sectional Study in Portugal JF - Acta Médica Portuguesa JA - Acta Med Port VL - 34 IS - 4 SE - Original DO - 10.20344/amp.14033 UR - https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14033 SP - 258-265 AB - <p><strong>Introduction:</strong> Opportunistic bilateral salpingectomy has been proposed as an ovarian cancer risk-reducing strategy namely as a means of tubal sterilization. We aimed to assess what were the procedures for interval and peripartum sterilization carried out nationwide, related motivational aspects and influential demographic or professional factors.<br /><strong>Material and Methods:</strong> Cross-sectional study based on an original survey sent to Obstetrics and Gynecology specialists and residents from across the country in 2019.<br /><strong>Results:</strong> Two hundred and twenty-five answers were obtained from 42 institutions (37 from the public sector). Laparoscopic tubal electrocoagulation (61%) was the most common procedure for interval sterilization followed by salpingectomy (28%). Major reasons pointed out for not performing salpingectomy were increased operative time (48.5%) and procedure not considered (45.5%). In some hospitals, the choice of salpingectomy depended on specific criteria namely surgical team decision. During cesarean-section, sterilization was most frequently performed using the modified Pomeroy technique (54%), followed by salpingectomy (32.5%), with a statistically significant prevalence in the north of the country. Sixty-nine percent of Portuguese Obstetrics and Gynecology residents and specialists consider that salpingectomy should be the procedure offered to women asking for definitive contraception.<br /><strong>Discussion:</strong> Although data are limited, salpingectomy at the time of cesarean delivery appears feasible and safe and this context might represent the best opportunity for intervention.<br /><strong>Conclusion:</strong> Opportunistic salpingectomy is not the most common sterilization procedure performed in Portugal, but it was considered the best choice to offer. Its benefits and risks should be discussed with women.</p> ER -