Comparing surgical time amongst different salpingectomy techniques at cesarean delivery

Permanent contraception techniques including tubal ligation and salpingectomy are effective methods commonly performed at the time of caesarean section. While traditional salpingectomy can decrease ovarian cancer risk, it is associated with increased surgical time. Advanced bipolar energy devices offer a promising time saving alternative but the data comparing the techniques is limited. The primary outcome was to determine if implementation of the bipolar energy device for complete salpingectomy at the Regina General Hospital (RGH) can reduce surgical time and improve outcomes (reduced blood loss and complication rate) for patients. A retrospective chart review of 232 cases was conducted using records from May 2022 to March 2024 to compare tubal ligation, traditional salpingectomy, and bipolar salpingectomy. Results showed that bipolar salpingectomy significantly reduced operating time. The duration for bipolar salpingectomy, salpingectomy without electrosurgery, and tubal ligation were found to be 54.8 ± 1.01; 60.5  ± 1.01; 71.0  ± 4.37 minutes, respectively. Although bipolar salpingectomy was associated with slightly more cases of increased blood loss, the overall complication rate remained low. These findings support the use of advanced bipolar energy devices for salpingectomy as a safe and efficient alternative during caesarean sections, offering reduced procedure time and potential improvements in surgical outcomes.