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- W2334880171 abstract "To date, laparoscopic salpingectomy is considered the procedure of choice to treat tubal ectopic pregnancy (EP), even if it can cause damage to ovarian vascularization and function. Salpingectomy can be performed by both anterograde or retrograde procedure, but no randomized studies have compared these two techniques yet. The aim of this study was to compare the fertility outcomes after laparoscopic anterograde and retrograde salpingectomy in women with EP. Retrospective analysis. Department of Obstetrics & Gynecology, University “Magna Graecia”, Catanzaro. Forty-one women, 18 to 40 years, submitted to IVF and diagnosed with EP. All patients had homogeneous pre-operative basal ovarian reserve parameters. Laparoscopic anterograde (24 patients, LAS) or retrograde (23 patients, LRS) salpingectomy. Post-operative ovarian reserve (variation of FSH, E2, AMH levels, basal antral follicle number, mean ovarian diameter, peak systolic velocity 3 months after surgery) was evaluated as primary outcome. Operative times, intraoperative blood loss and surgical complications were evaluated as secondary outcomes. FSH levels were lower and AMH levels were higher in LAS than in LRS group, but this difference were not statistically significant. There were no difference in the E2 levels between groups. Furthermore, median basal antral follicle number, median ovarian diameter and median peak systolic velocity were not significantly different between the groups.About the secondary outcomes, no significant difference in term of operative time between groups was found. Δ Hb was higher in LAS than LRS, but this difference was not statistically significant. None surgical complications were recorded in the two groups. Anterograde and retrograde salpingectomy techniques are both safe in terms of preservation of ovarian function and surgical complications. The anterograde salpingectomy, however, should be probably preferred because it seems to allow resection as close as possible to tubal surface." @default.
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- W2334880171 date "2012-11-01" @default.
- W2334880171 modified "2023-09-23" @default.
- W2334880171 title "Ovarian Function after Anterograde or Retrograde Salpingectomy" @default.
- W2334880171 doi "https://doi.org/10.1016/j.jmig.2012.08.144" @default.
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