Laparoscopic Gynecologic Surgery


	UM Guidelines

Laparoscopic Gynecologic Surgery, Including Myomectomy, Oophorectomy, and Salpingectomy

Inpatient and Surgical Care (ISC) ORG: S-775

BCBST modification effective December 16, 2011*

Deleted:

There were no deletions.

Added to: Clinical Indications

Bilaterial oophorectomy for presence of hormone receptor-positive operable breast cancer with ALL of the following:

Premenopausal

Completion of childbearing

References

American College of Obstetricians and Gynecologist. (2008). ACOG Practice Bulletin 89: Elective and risk-reducing salpingo-oophorectomy. Retrieved September 8, 2011 from http://mail.ny.acog.org/website/OvarianCaPracBull89.pdf.

BlueCross BlueShield of Tennessee network physicians. September - December 2011.

The Oncologist. (2004, April). What is the role of ovarian ablation in the management of primary and metastatic breast cancer today? Retrieved June 14, 2005 from http://theoncologist.alphamedpress.org/cgi/content/full/9/5/507.

National Cancer Institute. (2011, July). Breast cancer treatment. Retrieved August 30, 2011 from http://www.nci.nih.gov/cancertopics/pdq/treatment/breast/healthprofessional/allpages/print#Section_260.

	Added to: Clinical Indications


	Bilaterial oophorectomy for presence of hormone receptor-positive operable breast cancer with ALL of the following: Premenopausal Completion of childbearing References American College of Obstetricians and Gynecologist. (2008). ACOG Practice Bulletin 89: Elective and risk-reducing salpingo-oophorectomy. Retrieved September 8, 2011 from http://mail.ny.acog.org/website/OvarianCaPracBull89.pdf. BlueCross BlueShield of Tennessee network physicians. September - December 2011. The Oncologist. (2004, April). What is the role of ovarian ablation in the management of primary and metastatic breast cancer today? Retrieved June 14, 2005 from http://theoncologist.alphamedpress.org/cgi/content/full/9/5/507. National Cancer Institute. (2011, July). Breast cancer treatment. Retrieved August 30, 2011 from http://www.nci.nih.gov/cancertopics/pdq/treatment/breast/healthprofessional/allpages/print#Section_260.