Clinical Application of Single-port Laparoscopic Salpingectomy with Preserved Salpingum Mesothelium and its Influence on Ovarian Reserve Function and Assisted Pregnancy Outcome

Liru QU; Jianping QIU; Ningning ZHANG; Xinxin CHENG; Jiancheng YANG; Xiaoyan ZHANG

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Liru QU, Jianping QIU, Ningning ZHANG, Xinxin CHENG, Jiancheng YANG, Xiaoyan ZHANG. Clinical Application of Single-port Laparoscopic Salpingectomy with Preserved Salpingum Mesothelium and its Influence on Ovarian Reserve Function and Assisted Pregnancy Outcome[J]. Journal of Kunming Medical University.

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Clinical Application of Single-port Laparoscopic Salpingectomy with Preserved Salpingum Mesothelium and its Influence on Ovarian Reserve Function and Assisted Pregnancy Outcome

1.
Dept. of Obstetrics and Gynecology，Shuangyashan Shuangmine Hospital，Shuangyashan Heilongjiang 155100
2.
Obstetrics and Gynecology Department of Suzhou Hospital affiliated to Nanjing Medical University，215000

Received Date: 2024-02-21
Available Online: 2024-05-20

Abstract

Abstract

Objective To explore the clinical application of salpingectomy with preserving salpingum mesothelium under single-port laparoscopy and its influence on ovarian reserve function and assisted pregnancy outcome. Methods From January 2019 to January 2022, 80 cases of salpingectomy in Shuangyashan Double Mine Hospital were selected and randomly divided into control group （n = 40） and observation group （n = 40） . The control group was treated with multi-hole laparoscopic salpingectomy with salpingum mesothelium preserved, while the observation group was treated with single-hole laparoscopic salpingectomy with salpingum mesothelium preserved. The operation conditions （operation time, intraoperative blood loss, exhaust time, etc.）, anti-Mullerian hormone （AMH） before and one month after operation, ovarian function （basal sinus follicle count）, postoperative complications, assisted pregnancy outcome and cosmetic effect were analyzed. Results The exhaust time and postoperative hospitalization time in the observation group were shorter than those in the control group, and the operation time was longer than that in the control group （P < 0.05）. One month after operation, AMH in both groups decreased, and the number of sinus follicles in observation group A was lower than that in control group. The complication rate was lower than that of the control group （P < 0.05）. After a one-year follow-up, there was no significant difference in ovulation rate and pregnancy rate between the two groups （P > 0.05）. Follow-up for 3 months showed that the cosmetic effect of the observation group was better than that of the control group（95.00% vs 72.50%）（P < 0.05）. Conclusion Single-port laparoscopic salpingectomy with salpingum mesothelium preservation is safe, cosmetic and minimally invasive, and has little adverse effect on ovarian reserve function, which is helpful for successful pregnancy assistance and worthy of clinical application and promotion.
- Single-port laparoscopy,
- Salpingectomy with preservation of salpingum mesothelium,
- Ovarian reserve function,
- Pregnancy-assisted outcome

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References(22)

References

[1]	Lama P,Jha G,Amatya I P. Primary ovarian pregnancy after bilateral tubal sterilization[J]. J Nepal Health Res Counc,2023,21(1):181-183.
[2]	Rouvalis A,Vlastarakos P,Daskalakis G,et. al. Caesarean scar pregnancy: Single dose of intrasac ultrasound-guided methotrexate injection seems to be a safe option for treatment[J]. Ultrasound Int Open,2023,9(1):18-25 doi: 10.1055/a-2137-8318
[3]	Baradaran Bagheri R,Bazrafkan M,Sabour A,et. al. The comparison of pregnancy outcomes in fresh and frozen embryo transfer: A cross-sectional study[J]. Int J Reprod Biomed,2023,21(7):551-556.
[4]	Ruoxi W,Yiwei Z,Jun L,et. al. Heterotopic pregnancy: A case report of intrauterine mole with tubal pregnancy[J]. J Coll Physicians Surg Pak,2023,33(1):6-8.
[5]	Singh N,Kashyap A,Malhotra N,et. al. Comparison of the effects of two different trigger strategies - dual (hcg + leuprolide) versus hcg trigger - in antagonist non-donor ivf: A randomized controlled trial[J]. JBRA Assist Reprod,2023,27(3):467-473.
[6]	Botsyurko Ruslan,Smoligov á Vendula. Bilateral tubal ectopic pregnancy after spontaneous conception[J]. Ceska Gynekol,2023,88(4):287-290. doi: 10.48095/cccg2023287
[7]	Segal N L. The 18th international twin congress,and a look at twin research in wales/twin research reviews: Temperamental similarities and twin relations; maximizing twin designs; rare tubal ectopic pregnancy; twins' academic self-concept formation/in the media: identical infant twins reunited; birth of identical-fraternal quadruplets; identical twin comedians; 'twice in a lifetime': meeting an unrelated look-alike; twins in the tour de france[J]. Twin Res Hum Genet,2023,29(2):1-6.
[8]	中华医学会妇产科学分会妇科内镜学组. 妇科宫腔镜诊治规范[J]. 中华妇产科杂志,2012,47(7):555-558. doi: 10.3760/cma.j.issn.0529-567x.2012.07.023
[9]	Canday M,Yurtkal A,Kirat S. Evaluation and perspectives on hysterosalpingography (HSG) procedure in infertility: A comprehensive study[J]. Eur Rev Med Pharmacol Sci,2023,5(15):7107-7117.
[10]	Mock K O,Moyer A,Lobel M. Explaining sex discrepancies in sterilization rates in the united states: An evidence-informed commentary[J]. Perspect Sex Reprod Health,2023,55(3):116-121. doi: 10.1363/psrh.12243
[11]	Mohosho M M. The association between the prevalence of hiv infection and ectopic pregnancy[J]. Afr J Reprod Health,2023,27(2):87-91.
[12]	Fotia Perniciaro L,Sapienza C,Carrera Ramos P,et. al. Effects on adherence and knowledge of contraceptive methods[J]. Medicina (B Aires),2023,83(4):533-542.
[13]	C á rdenas-Su á rez N,Soto-Soto D,Vargas-Figueroa V,et. al. Reevaluation of large pelvic masses after inconclusive mris: A case report[J]. P R Health Sci J,2023,42(3):256-259.
[14]	Duus A H,Zheng G,Baandrup L,et al. Risk of ovarian cancer after salpingectomy and tubal ligation: Prospects on histology and time since the procedure[J]. Gynecol Oncol,2023,177(2):125-131.
[15]	Cirimele V,D'Amone G,Vertulli D,et. al. Liver abscess after endoscopic sleeve gastroplasty: A case report[J]. Radiol Case Rep,2023,18(11):4187-4190. doi: 10.1016/j.radcr.2023.08.113
[16]	Li J Y,Chen J,Liu J,et. al. Simultaneous rectal neuroendocrine tumors and pituitary adenoma: A case report and review of literature[J]. World J Gastroenterol,2023,29(34):5082-5090. doi: 10.3748/wjg.v29.i34.5082
[17]	Ruslan B,Vendula S. Bilateral tubal ectopic pregnancy after spontaneous conception[J]. Ceska Gynekol,2023,88(4):287-290. doi: 10.48095/cccg2023287
[18]	Noghrehalipour N,Aflatoonian R,Rahimipour A,et. al. The effect of altered mucin1,fgf2,and hbegf gene expression at the ectopic implantation site and endometrial tissues in the tubal pregnancy pathogenesis: A case-control study[J]. Int J Fertil Steril,2023,17(4):242-247.
[19]	Awal S,Regmi P R,Prajapati N. Not every twist is ovarian torsion: A case report of isolated torsion of the fallopian tube in a child[J]. Ann Med Surg (Lond),2023,85(8):4142-4144. doi: 10.1097/MS9.0000000000001059
[20]	Kurniadi A,Setiawan D,Kireina J,et. al. Clinical and management dilemmas concerning early-stage cervical cancer in pregnancy - a case report[J]. Int J Womens Health,2023,15(2):1213-1218.
[21]	Cathcart A M,Harrison R,Luccarelli J. Opportunistic salpingectomy during non-gynaecological surgery in the united States: A population-based retrospective study[J]. Br J Surg,2023,110(9):1215-1217. doi: 10.1093/bjs/znad203
[22]	Ke X,He L,Zheng J F,et. al. Rare occurrence of left ampullary ectopic pregnancy after ligation of the left fallopian tube: A case report[J]. Int J Womens Health,2023,15(2):965-970.

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