Predictors of Successful Salpingo-Oophorectomy at the Time of Vaginal Hysterectomy
Abstract Study Objective To determine prognostic factors related to successful salpingo-oophorectomy in menopausal women at the time of vaginal hysterectomy. Design Retrospective cohort study (Canadian Task Force Classification II-2). Setting Tertiary care center. Patients A total of 309 postmenopau...
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| Veröffentlicht in: | Journal of minimally invasive gynecology 2012, Vol.19 (1), p.58-62 |
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| container_title | Journal of minimally invasive gynecology |
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| creator | Karp, Deborah R., MD Mukati, Marium, MD Smith, Aimee L., MD Suciu, Gabriel, PhD Aguilar, Vivian C., MD Davila, G. Willy, MD |
| description | Abstract Study Objective To determine prognostic factors related to successful salpingo-oophorectomy in menopausal women at the time of vaginal hysterectomy. Design Retrospective cohort study (Canadian Task Force Classification II-2). Setting Tertiary care center. Patients A total of 309 postmenopausal ≥60 years old with pelvic floor disorders. Interventions Vaginal hysterectomy with attempted prophylactic salpingo-oophorectomy. Measurements Factors associated with ability to achieve vaginal salpingo-oophorectomy. Main Results 203 (65.7%) achieved successful removal of 1 or both ovaries, and 106 (34.3%) were not amenable to removal. Younger age and shorter cervical length were predictors of salpingo-oophorectomy. Cervical elongation of ≥7 cm, exteriorized cervical/uterine prolapse, and anterior vaginal wall prolapse beyond the hymen were associated with lower likelihood of achieving salpingo-oophorectomy. Conclusions Patient age and cervical length are independent factors that influence the success of accomplishing salpingo-oophorectomy at the time of vaginal hysterectomy. |
| doi_str_mv | 10.1016/j.jmig.2011.09.008 |
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Willy, MD</creator><creatorcontrib>Karp, Deborah R., MD ; Mukati, Marium, MD ; Smith, Aimee L., MD ; Suciu, Gabriel, PhD ; Aguilar, Vivian C., MD ; Davila, G. Willy, MD</creatorcontrib><description>Abstract Study Objective To determine prognostic factors related to successful salpingo-oophorectomy in menopausal women at the time of vaginal hysterectomy. Design Retrospective cohort study (Canadian Task Force Classification II-2). Setting Tertiary care center. Patients A total of 309 postmenopausal ≥60 years old with pelvic floor disorders. Interventions Vaginal hysterectomy with attempted prophylactic salpingo-oophorectomy. Measurements Factors associated with ability to achieve vaginal salpingo-oophorectomy. Main Results 203 (65.7%) achieved successful removal of 1 or both ovaries, and 106 (34.3%) were not amenable to removal. Younger age and shorter cervical length were predictors of salpingo-oophorectomy. Cervical elongation of ≥7 cm, exteriorized cervical/uterine prolapse, and anterior vaginal wall prolapse beyond the hymen were associated with lower likelihood of achieving salpingo-oophorectomy. Conclusions Patient age and cervical length are independent factors that influence the success of accomplishing salpingo-oophorectomy at the time of vaginal hysterectomy.</description><identifier>ISSN: 1553-4650</identifier><identifier>EISSN: 1553-4669</identifier><identifier>DOI: 10.1016/j.jmig.2011.09.008</identifier><identifier>PMID: 22055729</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age Factors ; Aged ; Cervical Length Measurement ; Female ; Humans ; Hysterectomy, Vaginal ; Middle Aged ; Obstetrics and Gynecology ; Ovariectomy ; Pelvic reconstructive surgery ; Predictive Value of Tests ; Retrospective Studies ; Salpingectomy ; Salpingo-oophorectomy ; Surgery ; Uterine Diseases - surgery ; Uterine Prolapse - surgery ; Vaginal hysterectomy</subject><ispartof>Journal of minimally invasive gynecology, 2012, Vol.19 (1), p.58-62</ispartof><rights>AAGL</rights><rights>2012 AAGL</rights><rights>Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-a5b9b18a1cf126eedd9156b3bb80e37e96d4d3f897046082e88dd124c2325ca63</citedby><cites>FETCH-LOGICAL-c410t-a5b9b18a1cf126eedd9156b3bb80e37e96d4d3f897046082e88dd124c2325ca63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jmig.2011.09.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,4022,27921,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22055729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karp, Deborah R., MD</creatorcontrib><creatorcontrib>Mukati, Marium, MD</creatorcontrib><creatorcontrib>Smith, Aimee L., MD</creatorcontrib><creatorcontrib>Suciu, Gabriel, PhD</creatorcontrib><creatorcontrib>Aguilar, Vivian C., MD</creatorcontrib><creatorcontrib>Davila, G. Willy, MD</creatorcontrib><title>Predictors of Successful Salpingo-Oophorectomy at the Time of Vaginal Hysterectomy</title><title>Journal of minimally invasive gynecology</title><addtitle>J Minim Invasive Gynecol</addtitle><description>Abstract Study Objective To determine prognostic factors related to successful salpingo-oophorectomy in menopausal women at the time of vaginal hysterectomy. Design Retrospective cohort study (Canadian Task Force Classification II-2). Setting Tertiary care center. Patients A total of 309 postmenopausal ≥60 years old with pelvic floor disorders. Interventions Vaginal hysterectomy with attempted prophylactic salpingo-oophorectomy. Measurements Factors associated with ability to achieve vaginal salpingo-oophorectomy. Main Results 203 (65.7%) achieved successful removal of 1 or both ovaries, and 106 (34.3%) were not amenable to removal. Younger age and shorter cervical length were predictors of salpingo-oophorectomy. Cervical elongation of ≥7 cm, exteriorized cervical/uterine prolapse, and anterior vaginal wall prolapse beyond the hymen were associated with lower likelihood of achieving salpingo-oophorectomy. Conclusions Patient age and cervical length are independent factors that influence the success of accomplishing salpingo-oophorectomy at the time of vaginal hysterectomy.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Cervical Length Measurement</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy, Vaginal</subject><subject>Middle Aged</subject><subject>Obstetrics and Gynecology</subject><subject>Ovariectomy</subject><subject>Pelvic reconstructive surgery</subject><subject>Predictive Value of Tests</subject><subject>Retrospective Studies</subject><subject>Salpingectomy</subject><subject>Salpingo-oophorectomy</subject><subject>Surgery</subject><subject>Uterine Diseases - surgery</subject><subject>Uterine Prolapse - surgery</subject><subject>Vaginal hysterectomy</subject><issn>1553-4650</issn><issn>1553-4669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1r3DAQhkVpaT7_QA_Ft57sjmRLtqAUSkiTQiClm-QqZGm8kWtbW8ku7L-vzG5z6KGnmcPzvjDPEPKOQkGBio990Y9uWzCgtABZADSvyCnlvMwrIeTrl53DCTmLsQcoawDxlpwwBpzXTJ6SH98DWmdmH2Lmu2yzGIMxdsuQbfSwc9PW5_d-9-wDJmbcZ3rO5mfMHtyIK_-kt27SQ3a7jzMemQvyptNDxMvjPCePX68frm7zu_ubb1df7nJTUZhzzVvZ0kZT01EmEK2VlIu2bNsGsKxRClvZsmtkDZWAhmHTWEtZZVjJuNGiPCcfDr274H8tGGc1umhwGPSEfolKUlZLLjkkkh1IE3yMATu1C27UYa8oqFWl6tWqUq0qFUiVVKbQ-2P90o5oXyJ_3SXg0wHAdORvh0FF43AyyedqQlnv_t__-Z-4GdzkjB5-4h5j75eQzEZFVWQK1GZ95vpLmgqpZHX5B1_Fmhk</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Karp, Deborah R., MD</creator><creator>Mukati, Marium, MD</creator><creator>Smith, Aimee L., MD</creator><creator>Suciu, Gabriel, PhD</creator><creator>Aguilar, Vivian C., MD</creator><creator>Davila, G. Willy, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Predictors of Successful Salpingo-Oophorectomy at the Time of Vaginal Hysterectomy</title><author>Karp, Deborah R., MD ; Mukati, Marium, MD ; Smith, Aimee L., MD ; Suciu, Gabriel, PhD ; Aguilar, Vivian C., MD ; Davila, G. Willy, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-a5b9b18a1cf126eedd9156b3bb80e37e96d4d3f897046082e88dd124c2325ca63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Cervical Length Measurement</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy, Vaginal</topic><topic>Middle Aged</topic><topic>Obstetrics and Gynecology</topic><topic>Ovariectomy</topic><topic>Pelvic reconstructive surgery</topic><topic>Predictive Value of Tests</topic><topic>Retrospective Studies</topic><topic>Salpingectomy</topic><topic>Salpingo-oophorectomy</topic><topic>Surgery</topic><topic>Uterine Diseases - surgery</topic><topic>Uterine Prolapse - surgery</topic><topic>Vaginal hysterectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karp, Deborah R., MD</creatorcontrib><creatorcontrib>Mukati, Marium, MD</creatorcontrib><creatorcontrib>Smith, Aimee L., MD</creatorcontrib><creatorcontrib>Suciu, Gabriel, PhD</creatorcontrib><creatorcontrib>Aguilar, Vivian C., MD</creatorcontrib><creatorcontrib>Davila, G. Willy, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of minimally invasive gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karp, Deborah R., MD</au><au>Mukati, Marium, MD</au><au>Smith, Aimee L., MD</au><au>Suciu, Gabriel, PhD</au><au>Aguilar, Vivian C., MD</au><au>Davila, G. Willy, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Successful Salpingo-Oophorectomy at the Time of Vaginal Hysterectomy</atitle><jtitle>Journal of minimally invasive gynecology</jtitle><addtitle>J Minim Invasive Gynecol</addtitle><date>2012</date><risdate>2012</risdate><volume>19</volume><issue>1</issue><spage>58</spage><epage>62</epage><pages>58-62</pages><issn>1553-4650</issn><eissn>1553-4669</eissn><abstract>Abstract Study Objective To determine prognostic factors related to successful salpingo-oophorectomy in menopausal women at the time of vaginal hysterectomy. Design Retrospective cohort study (Canadian Task Force Classification II-2). Setting Tertiary care center. Patients A total of 309 postmenopausal ≥60 years old with pelvic floor disorders. Interventions Vaginal hysterectomy with attempted prophylactic salpingo-oophorectomy. Measurements Factors associated with ability to achieve vaginal salpingo-oophorectomy. Main Results 203 (65.7%) achieved successful removal of 1 or both ovaries, and 106 (34.3%) were not amenable to removal. Younger age and shorter cervical length were predictors of salpingo-oophorectomy. Cervical elongation of ≥7 cm, exteriorized cervical/uterine prolapse, and anterior vaginal wall prolapse beyond the hymen were associated with lower likelihood of achieving salpingo-oophorectomy. Conclusions Patient age and cervical length are independent factors that influence the success of accomplishing salpingo-oophorectomy at the time of vaginal hysterectomy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22055729</pmid><doi>10.1016/j.jmig.2011.09.008</doi><tpages>5</tpages></addata></record> |
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| subjects | Age Factors Aged Cervical Length Measurement Female Humans Hysterectomy, Vaginal Middle Aged Obstetrics and Gynecology Ovariectomy Pelvic reconstructive surgery Predictive Value of Tests Retrospective Studies Salpingectomy Salpingo-oophorectomy Surgery Uterine Diseases - surgery Uterine Prolapse - surgery Vaginal hysterectomy |
| title | Predictors of Successful Salpingo-Oophorectomy at the Time of Vaginal Hysterectomy |
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