Zahra asgari1, Fatemeh tabatabaei1*, reihaneh hosseini1, Zahra tavoli2, ashraF moini1, 3, Jayran Zebardast4, ali montaZeri5
1Department of Obstetrics and Gynecology, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran - 2Department of Obstetrics and Gynecology, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran - 3Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran - 4Master of Science of Electronic Learning in Medical Education, Department of Electronic Learning in Medical Education, Imam Hospital, Tehran University of Medical Science, Tehran, Iran - 5Population Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
Background: There is evidence that using electrosurgical instruments in laparoscopic salpingectomy may reduce ovarian re- serve 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.
Tubal pregnancy, Laparoscopy, ovarian reserve, Anti-Mullerian Hormone