Ovarian function and postoperative pregnancy rate before and after laparoscopic fallopian tube resection

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  • KOKUNAI Kana
    Department of Obstetrics and Gynecology, Osaka Medical College
  • OKUDA Kiyoji
    Department of Obstetrics and Gynecology, Hokusetsu General Hospital
  • NAKAMURA Natsuho
    Department of Obstetrics and Gynecology, Osaka Medical College
  • TANAKA Rie
    Department of Obstetrics and Gynecology, Hokusetsu General Hospital
  • TSUNETOH Satoshi
    Department of Obstetrics and Gynecology, Osaka Medical College
  • HAYASHI Masami
    Department of Obstetrics and Gynecology, Osaka Medical College
  • TERAI Yoshito
    Department of Obstetrics and Gynecology, Osaka Medical College
  • OHMICHI Masahide
    Department of Obstetrics and Gynecology, Osaka Medical College

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Other Title
  • 卵管留水腫に対する腹腔鏡下卵管切除術前後の卵巣機能と術後妊娠率
  • ランカンリュウスイシュ ニ タイスル フククウキョウ カランカン セツジョ ジュツゼン ゴ ノ ランソウ キノウ ト ジュツゴ ニンシンリツ

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<p>Hydrosalpinx reportedly reduces the pregnancy rate of in vitro fertilization, and salpingectomy is one of the proposed surgical treatments. However, there is no consensus regarding the effect of salpingectomy on the ovarian function. We performed laparoscopic salpingectomy for hydrosalpinx in women who wished to become pregnant and examined the ovarian function and pregnancy rate. We performed laparoscopic salpingectomy (which involves preserving the blood vessels in the intervascular membrane and extracting only the fallopian tubes) in 29 patients with hydrosalpinx between August 2012 and December 2016. Among the 29 cases, six had endometriosis lesions and were therefore excluded from this study, leaving 23 patients who underwent only salpingectomy to be examined. We compared the serum AMH and pregnancy rate between cases of salpingectomy (studied; n=23) and myomectomy (control; n=35). No significant differences in the serum AMH or FSH levels before and after laparoscopic salpingectomy were noted. Postoperative pregnancy was achieved in 10 of the 23 patients who underwent salpingectomy. Laparoscopic salpingectomy for hydrosalpinx does not reduce the postoperative ovarian function. [Adv Obstet Gynecol, 71(2) : 67-73, 2019 (R1.5)]</p>

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