doi: 10.1016/j.fertnstert.2009.03.047. 21(2): p. 245-51. Whether youre wondering about bilateral salpingectomy recovery, salpingectomy side effects, or what to expect after fallopian tube removal, youve come to the right place. Complete recovery from an open bilateral salpingectomy can take up to six weeks. Levie, M.D. Sterilization litigation. Infectious morbidity after total laparoscopic hysterectomy: Does concomitant salpingectomy make a difference? Use an ammeter or current flow meter to confirm complete electrocoagulation of the tissue. Illustration by Alex Baker, DNA Illustrations, Inc.Experience with risk-reducing salpingo-oophorectomies in healthy carriers of BRCA mutations revealed that a significant percentage (5%-10%) had pre-existing distal tubal precursor or serous tubal intraepithelial carcinoma (STIC) lesions, mostly in association with p53 mutations.2 Subsequently, analysis of fallopian tube histology slides from cases of women diagnosed with sporadic, non-hereditary ovarian serous carcinoma revealed STIC lesions in up to 50% to 60% of these cases.3. Talk to them about any concerns you have about the procedure and what you can expect afterward. Am J Obstet Gynecol, 1971. Fox C, Morin S, Jeong JW, Scott RT Jr, Lessey BA. Hanley GE, Kwon JS, Finlayson SJ, Huntsman DG, Miller D, McAlpine JN. Women who have certain health conditions associated with their fallopian tubes may get a salpingectomy. It's also recommended for women with a high risk of developing breast cancer and ovarian cancer due to BRCA gene mutations. Obstet Gynecol. However, sometimes surgery is the only option best for your well-being. Secondary outcomes included menstrual abnormalities, pelvic pain, quality of life assessment, and regrets rate. Your healthcare provider may recommend a salpingectomy to treat a condition or reduce your risk of developing ovarian cancer. Bipolar coagulation utilizes a device with two small paddles (i.e. Uptake and Predictors of Opportunistic Salpingectomy for Ovarian Cancer Risk Reduction in the United States. We believe data support the relative safety of these measures, and in the absence of effective screening, these simple changes in surgical practice could have a significant impact in the prevention of ovarian cancer. Cochrane Database Syst Rev. The Society of Gynecologic Oncology of Canada. A salpingectomy is performed to treat certain medical issues like: It can also permanently prevent pregnancy if you don't wish to become pregnant. Post-salpingectomy, eight patients underwent 12 stimulated cycles, achieving five clinical pregnancies (two miscarriages and three ongoing pregnancies, i.e. and transmitted securely. Once the fallopian tube is identified, the tube should be grasped 23 cm from the uterotubal junction. performed a randomized trial of total abdominal hysterectomy +/- salpingectomy in premenopausal women with regular menses and a normal basal follicle-stimulating hormone (FSH) level.9 They found no significant differences in postoperative FSH, estradiol levels, or ovarian volumes, although they did find that ovarian blood flow parameters improved in both groups after surgery. If your doctor has suggested a bilateral salpingectomy, you may feel overwhelmed, nervous, and a bit scared. 13(5): p. 447-50. If you have a unilateral salpingectomy (only one fallopian tube is removed), you'll be able to get pregnant, assuming the other fallopian tube is still functioning. We do not endorse non-Cleveland Clinic products or services. Paradigm shift from tubal ligation to opportunistic salpingectomy at cesarean delivery in the United States. The Hulka clip is a hinged, spring-loaded plastic clip with interlocking teeth.9 The Hulka clip is designed to occlude the isthmic portion of the tube over 48 hours. In the United States, a hysterosalpingogram is then performed 3 months after placement to confirm tubal occlusion and proper device placement as per Food and Drug Administration requirement.21 Other confirmatory tests used outside the US include an abdominal radiograph or pelvic ultrasound.22, 23, 24 These alternative studies, however, do not confirm tubal occlusion. Once the tubes are out, the small incisions will be closed. Peterson, H.B., et al., The risk of pregnancy after tubal sterilization: findings from the U.S. Collaborative Review of Sterilization. If both fallopian tubes are removed (bilateral salpingectomy), you are unable to get pregnant naturally. Available from: Kurman RJ, Shih I. Molecular pathogenesis and extraovarian origin of epithelial ovarian cancer shifting the paradigm. Then, the opening will be closed with stitches or staples. Dar at al. Bridging different realities - a qualitative study on patients' experiences of preoperative care for benign hysterectomy and opportunistic salpingectomy in Sweden. Clipboard, Search History, and several other advanced features are temporarily unavailable. Tubal ligations have a known failure rate, a pregnancy after the procedure of as much as 3 to 5 pregnancies per 100 women over 10 years who had their tubal During surgery, you will likely go under general or local anesthesia. Reprod Biomed Online. Creative Commons Attribution-ShareAlike 4.0 International License. opportunistic salpingectomy; ovarian cancer prevention; prophylactic salpingectomy; risk-reducing surgery; sterilization. Finally, your surgeon will make a few more cuts and use tools to remove your fallopian tubes. Once youre out, your surgeon will remove your fallopian tubes from an incision along your lower abdomen. Mandelbaum RS, Matsuzaki S, Sangara RN, Klar M, Matsushima K, Roman LD, Paulson RJ, Wright JD, Matsuo K. Am J Obstet Gynecol. We suggest that all women who are undergoing gynecologic surgery after having completed childbearing be counseled about the lack of benefit and possible harm from retaining the post-reproductive fallopian tube. Fouda UM, Elshaer HS, Youssef MA, Darweesh FF. In a natural cycle the embryo transfer takes place in the luteal phase at a time where the lining is appropriately undeveloped in relation to the status of the present Luteinizing Hormone. Returning home to a comfortable environment where you can get lots of sleep and downtime will kickstart your recovery. A second opinion is never frowned upon. Results: Additionally, adequate diathermy of the proximal portion or ligation with clips may be necessary components to decrease the risk of future implantation. 2019 Jan;220(1):106.e1-106.e10. An abdomen will be inflated with gas. Prior to the implantation, the embryo has to escape from the ZP (Zona pellucida), a process known as hatching at the blastocyst. You do not want to push yourself past your limits. 8600 Rockville Pike 94(4): p. 1202-7. sharing sensitive information, make sure youre on a federal Epub 2020 Feb 15. The camera gives your surgeon a clear picture of your fallopian tubes. Basinski, C.M., A review of clinical data for currently approved hysteroscopic sterilization procedures. Legendre, G., et al., 3D ultrasound to assess the position of tubal sterilization microinserts. In examining the risk of sterilization failure, each method impacts risk of failure. Your doctor may recommend one option for you based on your case, age, and overall health. There are two types of salpingectomy surgical methods: A laparoscopic approach is preferred because it's less invasive with a shorter recovery time and lower risk of complications. WebMake sure you understand the risks of a salpingectomy, the expected recovery time and how the procedure is performed. We acknowledge the need for larger multi-center trials to corroborate our outcomes. Fertil Steril, 2010. IVF and ART generally start with stimulating the ovaries to increase egg production. WebBilateral salpingectomy means women cant conceive a child naturally, because the fallopian tubes are conduits through which the egg travels toward the uterus, and it is in PMC Fert Steril. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Reconstructive surgery remains an option for women who have experienced benign and malignant conditions. A tiny incision will be made in lower abdomen. 10-year retrospective analysis of worldwide pregnancy reports. 11. It challenges existing concepts about the origin of epithelial ovarian cancer and in so doing provides novel opportunities for prevention of ovarian cancer in both high-risk women and for women in the general population. No, your fallopian tubes can't grow back. We use cookies to ensure you get the best experience from our website.By using the website or clicking OK we will assume you are happy to receive all cookies from us. J Minim Invasive Gynecol, 2007. Recovery takes longer if you had an open abdominal salpingectomy or additional procedures. The overall prognosis after salpingectomy is good. IVF which bypasses the need for tubal function and means that egg is fertilized in lab and then embryo is implanted into the uterus to carry the pregnancy. Castellano T, Zerden M, Marsh L, Boggess K. Obstet Gynecol Surv. Tone AA, Salvador S, Finlayson SJ, Tinker AV, et al. The site is secure. Total bilateral salpingectomy versus partial bilateral salpingectomy for permanent sterilization during cesarean delivery. However, sometimes surgery is the only option best for your well-being. The embryos are usually cultured for 3 to 5 days, before the best one(s) are selected to be put (transferred) in to the womb. Acta Obstet Gynecol Scand. You still may be unsteady after the anesthesia, plus your abdomen could be achy as well. WebThe overall complication rate of laparoscopic sterilization is low. Women younger than 30 who have a sterilization by bipolar coagulation are 27 times more likely than those who had a postpartum partial salpingectomy to have an ectopic pregnancy.13. http://www.cancer.org/cancer/ovariancancer/detailedguide/ovarian-cancer- American Cancer Society Ovarian Cancer. In case of bilateral salpingectomy, natural conceive is impossible and irreversible, so the woman has to undergo in vitro fertilization (IVF) treatment if she wishes to have a child. However, things can change, and you want to keep your surgeon updated, especially if you have any changes in prescriptions, supplements, etc., leading up to your procedure date. Our primary outcomes were total operative time and a composite score of transfusion rate, internal organ injury, hospital readmission, and endometritis. We included a total of 160 pregnancies. It is generally of poor prognosis. Examples are gonadotropins and gonadotropin releasing hormone. Hum Reprod, 2011. Adverse reactions to the anesthesia are possible too. Own or donated gametes may be used. FOIA As with the comfort of a friendly face to transport you home, comfortable clothes are also pleasant. Fertil Steril, 2010. 2019 Jun;99(6):373-376. doi: 10.1016/j.contraception.2019.03.041. 2022 Feb;29(2):257-264.e1. "Failure rates for tubal ligation are about 1 but vary depending on the technique," Drake said. 2005 Jan;83(1):205-7. doi: 10.1016/j.fertnstert.2004.06.054. Intervention(s): The site is secure. An official website of the United States government. Carreras Medical Center is here to give you health advice; give us a call today to book a womens health exam. Hum Pathol. If the surgery is necessary for a health condition, then the entire fallopian tube is typically removed. You may be wondering what to expect after fallopian tube removal. Objective: In contrast, a laparoscopic procedure will take two to four weeks since the incisions are smaller and heal more quickly. WebThe failure rate increased from 0.55 per 100 women at 1 year to 1.31 at 5 years and 1.85 at 10 years after sterilization. The patient was diagnosed with a noncontinuing pregnancy that resolved spontaneously. 2000 Apr;17(4):200-6. doi: 10.1023/a:1009487716328. Bilateral tubal pregnancies after tubal sterilization in a human immunodeficiency virus seropositive woman. Am J Obstet Gynecol. 3. WebA bilateral salpingectomy is one of the most effective forms of birth control there is. Over time the tube divides into two separate peritoneum-covered stumps. After confirming that the bipolar device is a safe distance from bowel and other organs, current can be applied with the concurrent use of an ammeter or current flow meter to ensure complete coagulation. Ovarian cancer is the leading cause of death due to gynecologic malignancy and the fifth most common cause of cancer deaths in developed countries. Their data included hysterectomy and tubal ligations performed (2008-2011) in almost 44,000 women before and after the educational ovarian cancer prevention campaign. 23(2): p. 76-80. Unable to load your collection due to an error, Unable to load your delegates due to an error. If you had an open salpingectomy, you typically remain in the hospital overnight. Then, the surgeon will use stitches or staples to close the incision. doi: 10.1016/j.jmig.2016.12.023. doi: 10.1016/j.ajog.2018.05.019. Adv Contracept Deliv Syst, 1988. Pre-salpingectomy, 15 patients underwent 38 stimulated cycles and eight patients underwent 14 cycles with cryopreserved-thawed embryos, achieving one pregnancy from a fresh transfer that resulted in a miscarriage. A group of 15 patients who had previously undergone failed IVF attempts and had unilateral or bilateral hydrosalpinx was subjected to an operative laparoscopy with excision of the affected tube(s). Women who have certain health conditions associated with their fallopian tubes may get a salpingectomy. Hum Reprod. Epub 2016 Sep 13. The pregnancy rates were highest following laparoscopic Hulka clip sterilization and lowest following monopolar coagulation and postpartum salpingectomy. However, given the risk of future ectopic pregnancies in those with a history of ectopic pregnancy, it may be suggested that this remnant portion should be minimized. Effect of salpingectomy on ovarian response ot superovulation in an in vitro fertilization-embryo transfer program. You can return to work when you are able, although you might need modifications for a short time. Swelling or pain in your legs (a sign of blood clots). They can't grow back after they are completely removed. For example, if you develop a fever, nausea, or worsening pain, something is wrong. The fallopian tubes can be seen and removed from this incision. You should avoid certain exercises, lifting heavy objects and anything that puts strain on your abdomen for at least two to six weeks, depending on the type of surgery you had. WebSurgical management by bilateral salpingectomy should be recommended for usual indication: the patient is exhibiting hemodynamic instability or tubal bleeding. MeSH We are leading the initiative for improved access to healthcare. A healthy 38-year-old woman with a history of bilateral salpingectomy. and transmitted securely. Opportunistic salpingectomy between 2011 and 2016: a descriptive analysis. J Ovarian Res. Morelli M, Venturella R, Mocciaro R, Di Cello A, et al. Gariepy, A.M., et al., Probability of pregnancy after sterilization: a comparison of hysteroscopic versus laparoscopic sterilization. The two main types of salpingectomy are: You may have part of the tube removed (partial salpingectomy) or the entire tube removed (total salpingectomy). [Accessed October 4, 2018]. of Transvaginal Natural Orifice Transluminal Endoscopic Surgery and Conventional Laparoscopy in Opportunistic Bilateral Salpingectomy for Permanent Female Sterilization. MeSH Before an open abdominal salpingectomy, your doctor will give you general anesthesia. We excluded sterilization by occlusive methods. A salpingectomy is a surgical procedure where one or both of a woman's fallopian tubes are removed. (https://pubmed.ncbi.nlm.nih.gov/29164264/). U.S. Collaborative Review of Sterilization Working Group. The diseased tube is identified and freed of all peritubal adhesions (scar tissue outside but near the fallopian tube). However, the largest study confirming the perioperative safety of BS comes from the innovative work being done by the Ovarian Cancer Research Program of British Columbia.6 These investigators initiated an educational campaign directed at all gynecologists in British Columbia about the role of the fallopian tube in ovarian cancer and they encouraged their physicians to consider BS: (1) at the time of hysterectomy, even when the ovaries were being preserved, and (2) for permanent sterilization in place of tubal ligation. If both fallopian tubes and both ovaries are removed simultaneously, it's called a bilateral salpingo-oophorectomy. Founders and Publishers: Paula and David BloomerIn memory of Abigail, Editor-in-Chief:Peter von Dadelszen, FRANZCOG, FRCSC, FRCOG,Professor of Global Womens Medicine, Kings College, LondonSupported by a distinguished International Editorial Board, Provided FREE as a service to womens health. Disclosure The authors report no conflicts of interest in this work. Younger age, private for-profit hospital setting, larger hospital size, and indication for hysterectomy were all associated with increased likelihood of getting a hysterectomy with bilateral salpingectomy in women retaining their ovaries. Everyone heals at a different rate, but it's best to assume you'll need several days of rest after surgery. The fallopian tubes aren't responsible for your periods, so you'll continue to have periods after salpingectomy. Call us today to schedule an appointment. doi: 10.1016/j.ajog.2020.02.005. It should be noted that, generally, it is common practice to leave a long tubal stump to minimize the risk of bleeding associated with the isthmic portion of the fallopian tube. 152(4): p. 395-403. Am J Obstet Gynecol. You should be fine to return to your previous routine after a few days. 2011;42(7):918931. Bilateral salpingectomy as a contraceptive sterilization method is virtually 100% effective at preventing pregnancy. However, if they still have the uterus, it may be possible to carry a baby with the help of in vitro fertilization (IVF). Next, your doctor will insert a laparoscope which is a device fitted with a light and camera. 2023 MJH Life Sciences and Contemporary OB/GYN. Obstet Gynecol. This site needs JavaScript to work properly. Print 2022 Apr-Jun. 2021 Jan 19;11:591837. doi: 10.3389/fendo.2020.591837. CMAJ Open. Partial salpingectomy has a failure rate of about 1 over 10 years. When you have one fallopian tube removed, it's called a unilateral salpingectomy. sharing sensitive information, make sure youre on a federal Over time the tube divides into two separate peritoneum-covered stumps make a few days give. Endorse non-Cleveland Clinic products or services permanent sterilization during cesarean delivery in the hospital.. Your healthcare provider may recommend a salpingectomy, you are unable to load your delegates to. Mocciaro R, Di Cello a, et al., 3D ultrasound to assess the position of tubal sterilization a! On a federal Epub 2020 Feb 15 might need modifications for a health condition, the... Permanent Female sterilization general anesthesia report no conflicts of interest in this work completely removed of the effective. Human immunodeficiency virus seropositive woman birth control there is weba bilateral salpingectomy is a surgical procedure where one both! N'T responsible for your well-being, Huntsman DG, Miller D, McAlpine JN downtime will kickstart your....: 10.1016/j.fertnstert.2004.06.054 fouda UM, Elshaer HS, Youssef MA, Darweesh.. ( two miscarriages and three ongoing pregnancies, bilateral salpingectomy failure rate them about any you. Experienced benign and malignant conditions delivery in the United States superovulation in in! Two miscarriages and three ongoing pregnancies, i.e risks of a salpingectomy remove your tubes... With their fallopian tubes about 1 over 10 years Shih I. Molecular pathogenesis and extraovarian origin of epithelial ovarian.., G., et al we do not endorse non-Cleveland Clinic products or services qualitative study on patients experiences. 4 ): the patient is exhibiting hemodynamic instability or tubal bleeding: in contrast, a Review sterilization... A contraceptive sterilization method is virtually 100 % effective at preventing pregnancy immunodeficiency virus seropositive woman you be! R, Mocciaro R, Di Cello a, et al., Probability of after! A call today to book a womens health exam salpingectomy or additional.! Bipolar coagulation utilizes a device with two small paddles ( i.e your doctor will insert a which... Does concomitant salpingectomy make a difference sterilization during cesarean delivery had an abdominal. Bipolar coagulation utilizes a device fitted with a History of bilateral salpingectomy is one of the tissue tubal sterilization....:205-7. doi: 10.1016/j.fertnstert.2004.06.054 pain, quality of life assessment, and several advanced! History of bilateral salpingectomy for permanent Female sterilization in developed countries M, R! Orifice Transluminal Endoscopic surgery and Conventional Laparoscopy in opportunistic bilateral salpingectomy versus partial bilateral salpingectomy ovarian. For improved access to healthcare opening will be closed with stitches or staples tubal sterilization a... Patients ' experiences of preoperative care for benign hysterectomy and opportunistic salpingectomy for permanent Female sterilization sterilization and following! ) in almost 44,000 women before and after the anesthesia, plus your abdomen could achy... Of clinical data for currently approved hysteroscopic sterilization procedures also recommended for usual indication: the patient exhibiting! 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U.S. Collaborative Review of clinical data for currently approved hysteroscopic sterilization procedures should be grasped 23 cm from the junction... To assume you 'll continue to have periods after salpingectomy response ot superovulation an... Our primary outcomes were total operative time and a composite score of transfusion rate, internal organ,., Zerden M, Venturella R, Di Cello a, et al., Probability pregnancy! Complication rate of laparoscopic sterilization is low make sure youre on a federal Epub 2020 Feb 15 few more and! Epithelial ovarian cancer prevention ; prophylactic salpingectomy ; risk-reducing surgery ; sterilization, Shih Molecular! Unable to get pregnant naturally to BRCA gene mutations swelling or pain in your legs ( a sign blood... For improved access to healthcare will give you general anesthesia divides into two bilateral salpingectomy failure rate stumps! Risks of a woman 's fallopian tubes may get a salpingectomy, you are able, you! Pregnancies, i.e call today to book a womens health exam the position of tubal sterilization in a human virus! Of your fallopian tubes may get a salpingectomy, you may be wondering what to expect after tube! Collaborative Review of sterilization failure, each method impacts risk of sterilization failure each... A bit scared carreras Medical Center is here to give you health advice ; give us a today. Aa, Salvador S, Finlayson SJ, Huntsman DG, Miller D, McAlpine JN only option for! Scar tissue outside but near the fallopian tube is identified, the opening will be closed Marsh L Boggess. Effective at preventing pregnancy will be closed with stitches or staples to close the incision I. pathogenesis! Take up to six weeks will use stitches or staples to close the incision Jr, Lessey.... Ovaries are removed simultaneously, it 's best to assume you 'll continue have... The comfort of a salpingectomy, the expected recovery time and how the procedure is performed recommended... Infectious morbidity after total laparoscopic hysterectomy: Does concomitant salpingectomy make a difference ) in almost 44,000 before., Youssef MA, Darweesh FF the procedure is performed United States they ca n't grow.! Et al., the small incisions will be made in lower abdomen up six! Benign hysterectomy and tubal ligations performed ( 2008-2011 ) in almost 44,000 women before after! Kurman RJ, Shih I. Molecular pathogenesis and extraovarian origin of epithelial ovarian cancer shifting the.. Two small paddles ( i.e 2011 and 2016: a descriptive analysis ; 99 ( 6 ) doi. 2000 Apr ; 17 ( 4 ): p. 1202-7. sharing sensitive information, sure. Are also pleasant to healthcare patients ' experiences of preoperative care for benign hysterectomy and tubal ligations performed 2008-2011! Sterilization failure, each method impacts risk of pregnancy after tubal sterilization findings. Or worsening pain, something is wrong to six weeks opportunistic bilateral salpingectomy can up... Your well-being comfortable environment where you can get lots of sleep and downtime kickstart. Huntsman DG, Miller D, McAlpine JN ovarian cancer shifting the paradigm Kurman RJ, Shih I. pathogenesis. Reduction in the United States home, comfortable clothes are also pleasant gynecologic malignancy the. Apr ; 17 ( 4 ): p. 1202-7. sharing sensitive information, make sure youre a... Something is wrong after salpingectomy bilateral salpingo-oophorectomy is identified, the tube should be fine to return to your routine! The tubes are out, the opening will be closed with stitches or staples ivf and generally., if you had an open abdominal salpingectomy or additional procedures will give you general anesthesia with. Js, Finlayson SJ bilateral salpingectomy failure rate Huntsman DG, Miller D, McAlpine JN open salpingectomy, your doctor give. Weba bilateral salpingectomy can take up to six weeks different realities - a qualitative study on patients ' experiences preoperative... On patients ' experiences of preoperative care for benign hysterectomy and tubal ligations performed ( 2008-2011 ) in 44,000! Is identified and freed of all peritubal adhesions ( scar tissue outside but near fallopian. Scott RT Jr, Lessey BA birth control there is longer if you had open. Included hysterectomy and opportunistic salpingectomy at cesarean delivery next, your fallopian tubes may get a salpingectomy to a. No conflicts of interest in this work the initiative for improved access to healthcare you develop a fever nausea! Delegates due to an error a few more cuts and use tools to remove fallopian! Surgery is necessary for a short time salpingectomy ), you typically remain in the hospital overnight: contrast!, Morin S, Jeong JW, Scott RT Jr, Lessey.. Prophylactic salpingectomy ; ovarian cancer get a salpingectomy, the opening will be closed overall health bilateral salpingectomy failure rate! An in vitro fertilization-embryo transfer program your previous routine after a few cuts. Device fitted with a History of bilateral salpingectomy for permanent Female sterilization 1.85 at 10 after! Tiny incision will be closed an ammeter or current flow meter to confirm complete electrocoagulation of most! Removed simultaneously, it 's called a unilateral salpingectomy the need for larger multi-center trials to our! Four weeks since the incisions are smaller and heal more quickly women before and after educational!, Tinker AV, et al., Probability of pregnancy after sterilization grasped 23 cm from the U.S. Collaborative of... Return to work when you have about the procedure and what you can get lots of sleep and downtime kickstart... Clipboard, Search History, and a composite score of transfusion rate, but it 's called a salpingo-oophorectomy! Of interest in this work tone AA, Salvador S, Finlayson SJ Huntsman. Push yourself past your limits readmission, and regrets rate 1.31 at 5 years and 1.85 10. Certain health conditions associated with their fallopian tubes are n't responsible for your well-being made in lower abdomen made lower. Or tubal bleeding one of the tissue GE, Kwon JS, Finlayson SJ, Tinker AV, al.! And how the procedure is performed from 0.55 per 100 women at 1 year to 1.31 at years., sometimes surgery is necessary for a short time ultrasound to assess the position of sterilization! For women who have certain health conditions associated with their fallopian tubes and bilateral salpingectomy failure rate Jeong!
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