The Effect of Laparoscopic salpingectomy versus laparoscopic proximal tubal disconnection on ovarian reserve in women with hydrosalpinx: Randomized controlled trial

Abstract

Hydrosalpinx is one of the major tubal diseases that greatly affects in-vitro fertilization (IVF) cycle results (Johnson et al., 2014). Proper management of this condition will markedly increase the success rate of embryo implantation inside the endometrium (Ly et al., 2010; Strandell et al., 2005). Laparoscopic salpingectomy is considered a convenient intervention for management of this condition however, in recent years the effect of this operation on ovarian reserve became a matter of debate (Grynnerup et al., 2013). It was suggested by some studies that salpingectomy may affect blood supply and nerve supply to the ovary consequently decreases ovarian reserve due to the close anatomical relation between fallopian tubes and ovaries (Grynnerup et al., 2013; Gelbaya et al., 2006). To avoid disruption of medial tubal artery, resection by the electrocautery flush to the tube is recommended with preservation of the part of the tube that is closely related to the ovary (Standell et al., 2001). In some cases where salpingectomy is not accessible, proximal tubal disconnection with distal drilling of the tube may be done (Standell et al., 2001).