Core-pulling salpingectomy: a novel surgery for hydrosalpinx prior to in vitro fertilization and embryo transfer
نویسندگان
چکیده
Objective: This study aims to investigate the effects of a new surgical procedure to treat hydrosalpinx prior to in vitro fertilization and embryo transfer (IVF-ET). Methods: Infertile females receiving treatment for hydrosalpinx (n=633) were divided into one treated group and two comparison groups. The treated group comprised patients received pretreatment with core-pulling salpingectomy (n=105). One comparison group comprised patients who had conventional salpingectomy prior to IVF-ET (n=104), and the other comparison group comprised those received IVF-ET without a prior history of hydrosalpinx (n=424). Outcome in the treated group, ovarian reserve, ovarian responsiveness, and conception rates were compared to the two untreated groups. Results: After core-pulling salpingectomy, antral follicle number, endocrine profile, total dosage of ovulation-inducing agents required for ovarian stimulation, estradiol level on the day of human chorionic gonadotropin administration, and the number of oocytes retrieved following core-pulling salpingectomy were significantly higher compared to conventional salpingectomy, but not different from women without hydrosalpinx. Patients who underwent core-pulling salpingectomy received IVF-ET and achieved an increased clinical conception rate compared to conventional salpingectomy, but the difference was not statistically significant. Conclusions: Laparoscopic core-pulling salpingectomy should be recommended for patients with hydrosalpinx before receiving IVF-ET. This procedure did not interfere with ovarian reserve or responsiveness, and improved the conception rate.
منابع مشابه
Essure hysteroscopic tubal occlusion device for the treatment of hydrosalpinx prior to in vitro fertilization-embryo transfer in patients with a contraindication for laparoscopy.
OBJECTIVE To investigate the success rate of proximal tubal occlusion with Essure devices in subfertile women with hydrosalpinges, and to observe the results of subsequent treatment with IVF. DESIGN Prospective, single-arm, clinical study. SETTING University hospital and teaching hospital. PATIENT(S) Ten women with uni- or bilateral hydrosalpinges prior to IVF. In all patients laparoscopy...
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Ectopic pregnancy is defined as the implantation and development of an embryo outside the uterus. Its incidence has increased over the past two decades. We report two cases of interstitial pregnancy on a tubal stump following bilateral salpingectomy and in vitro fertilization (IVF) treatments. We emphasize the importance of total salpingectomy during surgery in order to avoid interstitial pregn...
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