Ovarian performance after laparoscopic salpingectomy or proximal tubal division of hydrosalpinx

ObjectiveTo compare the effect of laparoscopic salpingectomy and proximal fallopian tubal division on ovarian function after controlled ovarian hyperstimulation.MethodsSeventy-six patients undergoing their first IVF-ET cycle were divided into (group 1) 20 patients undergoing laparoscopic salpingectomy, (group 2) 19 patients undergoing proximal tubal division, and (group 3) 37 tubal-factor patients without hydrosalpinx as control group.Main Outcome Measure(s)Ovarian artery pulsatility index (PI), basal follicle-stimulating hormone (FSH) levels before and after surgery, operative time, total dose and duration of IVF stimulation, number of retrieved and fertilized oocytes, and the number of embryos transferred.Result(s)No significant differences in mean ovarian artery pulsatility indices among any of the groups before or after surgery. The mean FSH value was similar before and after laparoscopic proximal tubal division. The FSH value significantly increased after laparoscopic salpingectomy. The operative time in the PTD group was significantly shorter than in the salpingectomy group. Total dose and duration of stimulation and the number of retrieved and fertilized oocytes were not significantly different between groups 1, and 2 or the control group.Conclusion(s)Laparoscopic salpingectomy or proximal tubal division gives similar responses to IVF-ET cycles. However, proximal tubal division preserved ovarian function.