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Salpingectomy vs tubal ligation for sterilization: A systematic review and meta-analysis

American Journal of Obstetrics and Gynecology Sep 18, 2020

Mills K, Marchand G, Sainz K, et al. - In view of strong evidence and major organizations recommending salpingectomy over tubal ligation, researchers sought to compare the intraoperative attributes and complication rates linked with these two procedures via performing a systematic review and meta-analysis. PubMed, the Cochrane Library, EMBASE and clinical trials registries were searched for randomized controlled trials comparing salpingectomy with tubal ligation in women seeking sterilization. Two authors independently assessed abstracts and full-text articles using the blinded coding assignment function or EPPI-Reviewer 4. The procedures were reported to have only few differences, with no differences in most important clinical outcomes (AMH, blood loss, length of hospital stay, pre- or post-operative complications, or wound infections). Based on the data gained, they suggest salpingectomy to be as safe and efficacious as tubal ligation for sterilization; it may be preferred, where appropriate, to decrease the risk of ovarian cancer.

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