protocolSection identificationModule nctId: NCT06273683, orgStudyIdInfo id: INOVA-2023-145, briefTitle: Comparison of Two Salpingectomy Techniques for Sterilization at the Time of Cesarean Delivery, statusModule overallStatus: RECRUITING, startDateStruct date: 2024-03-11, primaryCompletionDateStruct date: 2024-12, completionDateStruct date: 2024-12, studyFirstPostDateStruct date: 2024-02-22, lastUpdatePostDateStruct date: 2024-03-20, sponsorCollaboratorsModule leadSponsor name: Inova Health Care Services, class: OTHER, descriptionModule briefSummary: 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., conditionsModule conditions: Permanent Sterilization, conditions: Pregnancy Related, designModule studyType: OBSERVATIONAL, designInfo observationalModel: COHORT, timePerspective: RETROSPECTIVE, enrollmentInfo count: 900, type: ESTIMATED, armsInterventionsModule interventions name: Hand-held bipolar energy instrument, interventions name: Traditional suture ligation, outcomesModule primaryOutcomes measure: Change in Hemoglobin levels on postoperative day one, secondaryOutcomes measure: Completion rate of sterilization, secondaryOutcomes measure: Total procedure estimated blood loss, secondaryOutcomes measure: Adjacent organ damage, secondaryOutcomes measure: Need for blood transfusion, secondaryOutcomes measure: Total operative time, secondaryOutcomes measure: ICU admission, secondaryOutcomes measure: Length of hospital stay, secondaryOutcomes measure: Hospital readmission postoperatively, secondaryOutcomes measure: Reoperation rates, secondaryOutcomes measure: Pain score, secondaryOutcomes measure: Surgical site infection, secondaryOutcomes measure: Cost, eligibilityModule sex: FEMALE, minimumAge: 21 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Inova Fairfax Medical campus, status: RECRUITING, city: Falls Church, state: Virginia, zip: 22042, country: United States, contacts name: Jean W Thermolice, MD, role: CONTACT, phone: 703-531-3000, email: jean.thermolice@inova.org, contacts name: Bianca Nguyen, MD, role: CONTACT, email: bianca.nguyen@inova.org, contacts name: Sofia Girald-Berlingeri, MD, role: SUB_INVESTIGATOR, contacts name: Bianca Nguyen, MD, role: SUB_INVESTIGATOR, contacts name: Catherine Kim, MD, role: SUB_INVESTIGATOR, contacts name: Miranda Newell, MS, role: SUB_INVESTIGATOR, contacts name: Renee Brenner, BS, role: SUB_INVESTIGATOR, geoPoint lat: 38.88233, lon: -77.17109, hasResults: False