alexa Ovarian Performance after Laparoscopic Salpingectomy or Proximal Tubal Division for Hydrosalpinx | OMICS International | Abstract
ISSN: 2161-0932

Gynecology & Obstetrics
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Research Article

Ovarian Performance after Laparoscopic Salpingectomy or Proximal Tubal Division for Hydrosalpinx

Ebtesam M Kamel*

Faculty of medicine, Zagazig University, Egypt

Corresponding Author:
Ebtesam M Kamel
Assistant professor
Faculty of medicine, Zagazig University, Egypt
E-mail: [email protected]

Received Date: May 16, 2012; Accepted Date: July 01, 2012; Published Date: July 10, 2012

Citation: Kamel EM (2012) Ovarian Performance after Laparoscopic Salpingectomy or Proximal Tubal Division for Hydrosalpinx. Gynecol Obstet 2:124. doi: 10.4172/2161-0932.1000124

Copyright: © 2012 Kamel EM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Objective: To compare the effect of laparoscopic salpingectomy and proximal fallopian tubes division on ovarian function after controlled ovarian hyperstimulation.

Methods: Seventy six patients undergoing their first IVF-ET cycle were divided into (group 1) 20 patients undergoing laparoscopic salpingectomy, (group 2) 19 patients undergoing proximal tubal division and (group 3) 37 tubal-factor patients without hydrosalpinx as control group.

Main outcome measure (s): Ovarian artery pulsatility index (PI), basal follicle-stimulating hormone (FSH) levels before and after surgery, operative time, total dose and duration of IVF stimulation, number of retrieved and fertilized oocyte, and number of embryo transferred.

Result (s): No significant differences in mean ovarian artery pulsatility indices among any of the groups before or after surgery. The mean FSH value was similar before and after laparoscopic proximal tubal division. The FSH value significantly increased after laparoscopic salpingectomy. The operative time in the PTD group was significantly shorter than in the salpingectomy group, total dose and duration of stimulation, number of retrived and fertilized oocyte, were not significantly different between group 1, group 2 or control group.

Conclusion (s): Laparoscopic salpingectomy or proximal tubal division gives similar responses to IVF-ET cycles. However, proximal tubal division preserved ovarian function.


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