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.
Dept. of Obstetrics and Gynecology，Affiliated to Nanjing Medical University，Suzhou Nanjing 215000，China

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 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

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