OVARIAN CANCER PREVENTION: THE ROLE OF OPPORTUNISTIC SALPINGECTOMY 2 KEY EVIDENCE-BASED MESSAGES 1. Bilateral salpingectomy can reduce ovarian cancer risk. - A proportion of high-grade serous ovarian cancers originate in the distal fallopian tube. - Opportunistic bilateral salpingectomy involves removal of both fallopian tubes during an otherwise indicated pelvic or abdominal surgery. - It should be discussed with women undergoing hysterectomy for benign indications who have completed their family. - It may also be considered during permanent contraception procedures. 2. Incorporate salpingectomy into surgical counselling. - ACOG's October 2026 clinical practice update strengthens support for opportunistic salpingectomy. - Available evidence suggests that salpingectomy does not appear to adversely affect ovarian function based on surrogate markers. - Ovaries should generally be preserved in premenopausal women without an indication for oophorectomy. - Salpingectomy reduces, but does not eliminate, future ovarian cancer risk. - Informed consent and shared decision-making are essential. KEY TAKE-HOME MESSAGE Every benign hysterectomy is an opportunity to discuss ovarian cancer risk reduction. Consider opportunistic bilateral salpingectomy when appropriate, while preserving ovarian function and individualizing surgical decisions. EVIDENCE SOURCES 1. ACOG Clinical Practice Update, October 2026: Salpingectomy for the Prevention of Epithelial Ovarian Cancer. PubMed 2. ACOG Committee Opinion No. 774: Opportunistic Salpingectomy as a Strategy for Epithelial Ovarian Cancer Prevention. 3. Evidence supporting the role of fallopian tubes in high-grade serous ovarian carcinogenesis. #SUNLEAFWOMENSCARE #OPPORTUNISTICSALPINGECTOMY #OVARIANCANCERPREVENTION #GYNECOLOGYSURGERY #LAPAROSCOPICSURGERY #HYSTERECTOMY #WOMENSHEALTH #OVARIANCANCER #PREVENTIVEGYNECOLOGY #EVIDENCEBASEDMEDICINE #GYNECOLOGIST #SURAT #SART HANA #VARACHHA