Total Salpingectomy During Abdominal Hysterectomy Preserves Ovarian blood flow and Function

Aim: To evaluate the effect of total salpingectomy on ovarian reserve and function during abdominal hysterectomy. Method: Twenty five patients undergoing total abdominal hysterectomy for dysfunctional uterine bleeding were randomly allocated into two groups; group (I) 13 patients undergoing total abdominal hysterectomy with bilateral excision of both tubes. Group (II) 12 patients undergoing classical method of total abdominal hysterectomy. Antral follicles count, ovarian volume, ovarian stromal blood flow and serum FSH,LH were evaluated preoperatively and 6,12 months postoperatively. Results: A significant increase in ovarian stromal blood flow was oberved 6 months post operatively in both groups with significant decrease in pulsatility and resistance indicies (PI&RI), antral follicle count were significantly higher in group (I) compared to group (II) with no significant changes in FSH, LH levels in both groups. Twelve months postoperatively group I showed significantly higher antral follicles count, larger mean ovarian volume and increased ovarian stromal blood flow than group II. Conclusion: Complete excision of tubes with caution not to damage the ovarian vascular structure during abdominal hysterectomy may preserve ovarian blood flow and function.