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The rationale of opportunistic bilateral salpingectomies (OBS) during benign gynaecological and obstetric surgery : a consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG)

(2019) FACTS, VIEWS & VISION IN OBGYN. 11(2). p.177-187
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Abstract
Ovarian cancer (OC), is a disease difficult to diagnose in an early stage implicating a poor prognosis. The 5-year overall survival in Belgium has not changed in the last 18 years and remains 44 %. There is no effective screening method (secondary prevention) to detect ovarian cancer at an early stage. Primary prevention of ovarian cancer came in the picture through the paradigm shift that the fallopian tube is often the origin of ovarian cancer and not the ovary itself. Opportunistic bilateral salpingectomy (OBS) during benign gynaecological and obstetric surgery might have the potential to reduce the risk of ovarian cancer by as much as 65 %. Bilateral risk-reducing salpingectomy during a benign procedure is feasible, safe, appears to have no impact on the ovarian function and seems to be cost effective. The key question is whether we should wait for a RCT or implement OBS directly in our daily practice. Guidelines regarding OBS within our societies are therefore urgently needed. Our recommendation is to inform all women without a child wish, undergoing a benign gynaecological or obstetrical surgical procedure about the pro’s and the con’s of OBS and advise a bilateral salpingectomy. Furthermore, there is an urgent need for a prospective registry of OBS. The present article is the consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG) regarding OBS.
Keywords
salpingectomy, ovarian cancer, risk-reducing, reduction, prevention, menopause, opportunistic, prophylactic, benefits, risk, safety

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MLA
Tjalma, W. A. A., et al. “The Rationale of Opportunistic Bilateral Salpingectomies (OBS) during Benign Gynaecological and Obstetric Surgery : A Consensus Text of the Flemish Society of Obstetrics and Gynaecology (VVOG).” FACTS, VIEWS & VISION IN OBGYN, vol. 11, no. 2, 2019, pp. 177–87.
APA
Tjalma, W. A. A., Bosteels, J., Cooremans, I., Cosyns, S., De Greve, M., De Vree, B. P., … Weyers, S. (2019). The rationale of opportunistic bilateral salpingectomies (OBS) during benign gynaecological and obstetric surgery : a consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG). FACTS, VIEWS & VISION IN OBGYN, 11(2), 177–187.
Chicago author-date
Tjalma, W. A. A., Jan Bosteels, I. Cooremans, S. Cosyns, M. De Greve, B. P. De Vree, D. Debruyne, et al. 2019. “The Rationale of Opportunistic Bilateral Salpingectomies (OBS) during Benign Gynaecological and Obstetric Surgery : A Consensus Text of the Flemish Society of Obstetrics and Gynaecology (VVOG).” FACTS, VIEWS & VISION IN OBGYN 11 (2): 177–87.
Chicago author-date (all authors)
Tjalma, W. A. A., Jan Bosteels, I. Cooremans, S. Cosyns, M. De Greve, B. P. De Vree, D. Debruyne, E. T. De Jonge, E. J. I. Desmedt, P. Dubois, T. Faes, M. Francx, Tjalina Hamerlynck, Amin Makar, Anne-Sophie Maryns, I. Michiels, G. Orye, L. Platteeuw, B. Pouseele, V. Schutyser, A. Segaert, M. Stevens, C. Tomassetti, X. B. Trinh, Philippe Tummers, S. G. K. Van Calenbergh, P. A. Van Dam, B. Van Herendael, R. Vanspauwen, I. B. Vergote, J. Verguts, K. Watty, and Steven Weyers. 2019. “The Rationale of Opportunistic Bilateral Salpingectomies (OBS) during Benign Gynaecological and Obstetric Surgery : A Consensus Text of the Flemish Society of Obstetrics and Gynaecology (VVOG).” FACTS, VIEWS & VISION IN OBGYN 11 (2): 177–187.
Vancouver
1.
Tjalma WAA, Bosteels J, Cooremans I, Cosyns S, De Greve M, De Vree BP, et al. The rationale of opportunistic bilateral salpingectomies (OBS) during benign gynaecological and obstetric surgery : a consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG). FACTS, VIEWS & VISION IN OBGYN. 2019;11(2):177–87.
IEEE
[1]
W. A. A. Tjalma et al., “The rationale of opportunistic bilateral salpingectomies (OBS) during benign gynaecological and obstetric surgery : a consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG),” FACTS, VIEWS & VISION IN OBGYN, vol. 11, no. 2, pp. 177–187, 2019.
@article{8679426,
  abstract     = {{Ovarian cancer (OC), is a disease difficult to diagnose in an early stage implicating a poor prognosis. The 5-year
overall survival in Belgium has not changed in the last 18 years and remains 44 %. There is no effective screening
method (secondary prevention) to detect ovarian cancer at an early stage. Primary prevention of ovarian cancer
came in the picture through the paradigm shift that the fallopian tube is often the origin of ovarian cancer and
not the ovary itself. Opportunistic bilateral salpingectomy (OBS) during benign gynaecological and obstetric
surgery might have the potential to reduce the risk of ovarian cancer by as much as 65 %. Bilateral risk-reducing
salpingectomy during a benign procedure is feasible, safe, appears to have no impact on the ovarian function and
seems to be cost effective. The key question is whether we should wait for a RCT or implement OBS directly in our
daily practice. Guidelines regarding OBS within our societies are therefore urgently needed. Our recommendation
is to inform all women without a child wish, undergoing a benign gynaecological or obstetrical surgical procedure
about the pro’s and the con’s of OBS and advise a bilateral salpingectomy. Furthermore, there is an urgent need
for a prospective registry of OBS. The present article is the consensus text of the Flemish Society of Obstetrics and
Gynaecology (VVOG) regarding OBS.}},
  author       = {{Tjalma, W. A. A. and Bosteels, Jan and Cooremans, I. and Cosyns, S. and De Greve, M. and De Vree, B. P. and Debruyne, D. and De Jonge, E. T. and Desmedt, E. J. I. and Dubois, P. and Faes, T. and Francx, M. and Hamerlynck, Tjalina and Makar, Amin and Maryns, Anne-Sophie and Michiels, I. and Orye, G. and Platteeuw, L. and Pouseele, B. and Schutyser, V. and Segaert, A. and Stevens, M. and Tomassetti, C. and Trinh, X. B. and Tummers, Philippe and Van Calenbergh, S. G. K. and Van Dam, P. A. and Van Herendael, B. and Vanspauwen, R. and Vergote, I. B. and Verguts, J. and Watty, K. and Weyers, Steven}},
  issn         = {{2032-0418}},
  journal      = {{FACTS, VIEWS & VISION IN OBGYN}},
  keywords     = {{salpingectomy,ovarian cancer,risk-reducing,reduction,prevention,menopause,opportunistic,prophylactic,benefits,risk,safety}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{177--187}},
  title        = {{The rationale of opportunistic bilateral salpingectomies (OBS) during benign gynaecological and obstetric surgery : a consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG)}},
  volume       = {{11}},
  year         = {{2019}},
}