20/08/2026
Bilateral salpingectomy fails in roughly 1 in 5 cesareans. Adhesions, usually, and it gets tougher after three or more prior C-sections.
When it does work, the cost is small: about 6 minutes at cesarean and 16 at hysterectomy, across a 320,443-patient analysis, with no increase in complications. "A straightforward salpingectomy in normal anatomy might only add a few minutes," Dr. Greg Marchand told MDLinx; the variable is what you find once you're actually in there.
At how many prior cesareans do you stop attempting bilateral? https://tinyurl.com/24atmufx