OPPORTUNIST SALPINGECTOMY AS PREVENTION OF OVARIAN CANCER: A QUALITATIVE ANALYSIS OF POPULATION STUDIES

Abstract

Ovarian cancer is the most lethal gynecological cancer, and the survival rate for ovarian cancer worldwide is less than 50% in 5 years. Opportunistic bilateral salpingectomy at the time of benign gynecological surgery has become a possibility for the prevention of ovarian cancer. Therefore, we qualitatively evaluated population studies to understand whether bilateral salpingectomy can be used as surgical prevention for ovarian cancer. A bibliographic review was carried out in the PubMed/MEDLINE, Scielo, and LILACS databases, in which seven retrospective observational studies were selected that evaluated the “hazard ratio” or “odds ratio” of ovarian cancer incidence in women undergoing opportunistic salpingectomy. Salpingectomy has shown promise as a form of surgical prevention for ovarian cancer, with a statistically significant reduction of up to 65% of cancer cases. However, prospective population studies with greater statistical power are necessary to better understand opportunistic bilateral salpingectomy as primary prevention for ovarian cancer.