Back to Trials
NCT06273683Recruiting

Comparison of Two Salpingectomy Techniques for Sterilization at the Time of Cesarean Delivery

Inova Health Care Services

Start Date

3/11/2024

Completion Date

12/1/2027

Summary

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

Age Range: 21 years to No maximum

Inclusion Criteria: * 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). Exclusion Criteria: * vaginal delivery * history of prior adnexal surgery (such as prior bilateral tubal ligation or unilateral salpingectomy oophorectomy) * placenta accreta spectrum * placenta previa * history of bleeding diathesis.

Interventions

OTHER

Hand-held bipolar energy instrument

OTHER

Traditional suture ligation

Interested in This Trial?

Contact the trial locations directly using the information below to learn more about enrollment.

Expressing interest lets you review the study and consent before we connect you with the research site.

Conditions

Permanent SterilizationPregnancy Related

Locations

Inova Fairfax Medical campus

Falls Church, Virginia 22042

United States