Key clinical point: Performing a total salpingectomy at the time of cesarean delivery added just over 6 minutes of operative time compared with cesarean delivery and conventional sterilization, according to a recent systematic review and meta-analysis.

Major finding: The eight cohort studies included 7,303 women. Women who received total salpingectomy at the time of cesarean delivery had operative time – defined as the time from skin incision to skin closure – 6.3 minutes longer than women who received a standard sterilization method (95% confidence interval, 3.5-9.1). Two of the three randomized controlled trials reported times for the sterilization procedures. One study found a duration of 5.6 minutes for salpingectomy with a bipolar device and 6.1 minutes for tubal interruption; the other study compared salpingectomy with suture ligation and tubal interruption, finding operative times of 18.5 and 6.9 minutes, respectively.

Study details: Systematic review and meta-analysis of 11 studies – 8 cohort studies and 3 randomized trials – comprising 320,443 women who received salpingectomy or standard sterilization methods.

Disclosures: Dr. Roeckner reported no outside sources of funding and no conflicts of interest.