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초록· 키워드

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Based on the current understanding of a preventive effect of bilateral salpingectomy on ovarian/fallopian/peritonealcancers, the Korean Society of Obstetrics and Gynecology, Korean Society of Gynecologic Endocrinology, KoreanSociety of Gynecologic Oncology, Korean Society of Maternal Fetal Medicine, and Korean Society for ReproductiveMedicine support the following recommendations:• Women scheduled for hysterectomy for benign gynecologic disease should be informed that bilateral salpingectomyreduces the risk of ovarian/fallopian/peritoneal cancer, and they should be counseled regarding this procedure atthe time of hysterectomy. • Although salpingectomy is generally considered as a safe procedure in terms of preserving ovarian reserve, there isa lack of evidences representing its long-term outcomes. Therefore, patients should be informed about the minimalpotential of this procedure for decreasing ovarian reserve. • Prophylactic salpingectomy during vaginal hysterectomy is favorable in terms of prevention of ovarian/fallopian/peritoneal cancer, although operation-related complications minimally increase with this procedure, compared tothe complications associated with vaginal hysterectomy alone. Conversion to open or laparoscopic approach fromvaginal approach to perform prophylactic salpingectomy is not recommended. • Women who desire permanent sterilization at the time of cesarean delivery could be counseled for prophylacticsalpingectomy before surgery on an individual basis.

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