The outcome of embryo transfer after three different procedures for laparoscopic correction of hydrosalpinx

• Published in: International journal of gynecology and obstetrics
• Main Authors: Wang, Juan, Liao, Simi, Luo, Yanfen, Pang, Xiaofeng, Li, Rirong, Mehmood, Arshad
• Format: Journal Article
• Language: English
• Published: United States 28.09.2024
• Subjects: laparoscopy; hydrosalpinx; pregnancy outcomes; infertility; embryo transfer; tubal surgery
• ISSN: 0020-7292; 1879-3479; 1879-3479
• DOI: 10.1002/ijgo.15932

To compare the effect of three different surgical approaches: simple terminal salpingostomy, bilateral proximal tubal ligation plus terminal salpingostomy, and bilateral salpingectomy. A retrospective analysis was conducted on the clinical data of 292 patients who underwent laparoscopic surgery for hydrosalpinx and embryo transfer within 2 years postoperatively from January 2018 to August 2021. The patients were divided into three groups: Group A (68 cases) underwent simple terminal salpingostomy, Group B (199 cases) underwent ligation plus terminal salpingostomy, and Group C (25 cases) underwent bilateral salpingectomy. Age, body mass index, surgical time, intraoperative bleeding, length of hospital stay, and infertility type showed no significant differences among the different surgical groups (P > 0.05), except for the age 30-39 group, which showed statistically significant differences in surgical time (P < 0.001) and length of hospital stay (P < 0.001); the age 40 or above group showed statistically significant differences in intraoperative bleeding (P = 0.008). A total of 336 oocyte retrievals and 451 embryo transfers were successfully performed in the 292 patients within 2 years postoperatively. The choice of surgical approach for hydrosalpinx does not affect pregnancy rates after embryo transfer within the same age group.