Comparison of Two Salpingectomy Techniques for Sterilization at the Time of Cesarean Delivery
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age21+
SponsorInova Health Care Services
About this trial
One in three women of reproductive age utilize tubal sterilization for contraception, and sterilization is often requested at time of cesarean delivery. Complete salpingectomy for the purpose of permanent sterilization at the time of cesarean birth is increasingly being performed worldwide.
A preferred complete salpingectomy technique for the purpose of sterilization at the time of cesarean delivery has not emerged in current practice. The objective is to compare short-term clinical outcomes and cost of salpingectomy using a hand-held bipolar energy instrument with those of traditional suture ligation. This retrospective cohort study will be conducted from 2017-2023 at a single tertiary care hospital. The investigators hypothesize that bipolar energy instrument use will not significantly improve clinical outcomes.
Eligibility criteria
Qualifiers
request for permanent sterilization at the time of cesarean delivery
24 weeks' gestation or beyond
21 years old or older
Medicaid sterilization consent per Virginia Department of Medical Assistance Services regulations (if Medicaid recipient).
Disqualifiers
vaginal delivery
history of prior adnexal surgery (such as prior bilateral tubal ligation or unilateral salpingectomy oophorectomy)
placenta accreta spectrum
placenta previa
Trial design
Treatments tested in this trial
- Hand-held bipolar energy instrument
- Traditional suture ligation
Treatment groups
900 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov