Wide excision of soft tissues adjacent to the ovary and fallopian tube does not impair the ovarian reserve in women undergoing prophylactic bilateral salpingectomy: results from a randomized, controlled trial

Fertility and Sterility
Roberta VenturellaFulvio Zullo

Abstract

To study the effects of the wide excision of soft tissues adjacent to the ovary and fallopian tube on ovarian function and surgical outcomes in women undergoing laparoscopic bilateral prophylactic salpingectomy. Randomized, controlled trial. Teaching hospital. One hundred eighty-six women undergoing laparoscopic surgery for uterine myoma (n = 143) or tubal surgical sterilization (n = 43). Patients were randomly divided into two groups. In group A (n = 91), standard salpingectomy was performed. In group B (n = 95), the mesosalpinx was removed within the tubes. Prior to and 3 months after surgery, antimüllerian hormone (AMH), FSH, three-dimensional antral follicle count (AFC), vascular index (VI), flow index (FI), vascular-flow index (VFI), and OvAge were recorded for each patient. Ovarian reserve modification (Δ) before and after surgery was assessed as the primary outcome. Operative time, variation of the hemoglobin level (ΔHb), postoperative hospital stay, postoperative return to normal activity, and complication rate were assessed as secondary outcomes. No significant difference was observed between groups for ΔAMH, ΔFSH, ΔAFC, ΔVI, ΔFI, ΔVFI, and ΔOvAge. Moreover, the groups were similar for operative time, ΔHb, postoperativ...Continue Reading

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Citations

May 20, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Xavier DeffieuxFrançois Golfier
Jun 5, 2016·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Jessica N McAlpineGillian E Hanley
Jun 5, 2016·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Jessica N McAlpineGillian E Hanley
Jul 2, 2016·Gynécologie, obstétrique & fertilité·G CheneG Lamblin
Aug 16, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M A AtalayK Ozerkan
Oct 19, 2016·Journal of Minimally Invasive Gynecology·Roberta VenturellaMichele Morelli
Nov 5, 2016·Journal of Ovarian Research·Marco NoventaStefano Palomba
Jan 15, 2017·Journal of Minimally Invasive Gynecology·L Kirsten Ely, Mireille Truong
Jan 11, 2017·Journal of Minimally Invasive Gynecology·Nigel PereiraZev Rosenwaks
Feb 23, 2017·Journal of Minimally Invasive Gynecology·Alexander KotlyarTommaso Falcone
Mar 24, 2017·Cancer·Kara C Long RocheOliver Zivanovic
May 5, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Ahmed Aboelfadle MohamedSaad Ali K S Amer
May 15, 2019·Obstetrics and Gynecology·Alessandra J AinsworthShannon K Laughlin-Tommaso
Jun 2, 2016·American Society of Clinical Oncology Educational Book·Keiichi FujiwaraAmit M Oza
Sep 29, 2017·Clinical Obstetrics and Gynecology·Gillian E HanleyJessica N McAlpine
Feb 18, 2020·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Rachael RodgersJason Abbott
May 26, 2017·Journal of Gynecologic Oncology·Karl Tamussino
May 29, 2019·Obstetrics and Gynecology·Alessandra J AinsworthShannon K Laughlin-Tommaso
Jun 14, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Aurélie BuffeteauFabien Vidal

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