Ovarian Reserve After Laparoscopic Salpingectomy Compared With Laparoscopic Salpingotomy in Patients With Tubal Ectopic Pregnancy Publisher



Asgari Z¹ ; Tabatabaei F¹ ; Hosseini R¹ ; Tavoli Z² ; Moini A^{1, 3} ; Zebardast J⁴ ; Montazeri A⁵
Source: Acta Medica Mediterranea Published:2019

Abstract

Background: There is evidence that using electrosurgical instruments in laparoscopic salpingectomy may reduce ovarian reserve due to thermal injury of the accompanying portion of mesosalpinx and the subsequent disruption in ovarian circulation. This study compares the effects of laparoscopic salpingectomy and laparoscopic salpingotomy on ovarian reserve. Methods: This was a comparative study on a sample of pregnant women with tubal ectopic pregnancy who attended to the obstetrics and gynecology clinic in a teaching hospital affiliated to Tehran University of Medical Sciences. Women received either laparoscopic salpingectomy (group 1) or laparoscopic salpingotomy (group 2). Ovarian reserve then was compared between the two groups by measuring Anti-Mullerian Hormone (AMH) levels pre and postoperatively. Results: In all, 93 pregnant women were entered into the study (46 in group 1 and 47 in group 2). Pre-treatment serum AMH levels were 2.02±1.4 and 2.54±1.50 (ng/ml) in salpingectomy and salpingotomy groups, respectively (P = 0.13). At post-treatment, these were 2.39±1.6 and 3.04±1.8 (ng/ml) (P =0.12) indicating that there were no statistically significant differences in post-operative serum AMH levels between the two groups. Conclusion: The findings indicated that laparoscopic salpingectomy and laparoscopic salpingotomy did not differ in ovarian reserve. © 2019 A. CARBONE Editore. All Rights Reserved.