Management of hydrosalpinx before or during in vitro fertilization–embryo transfer: a national postal survey in France

Ducarme, Guillaume; Uzan, M.; Hugues, J.-N.; Cédrin‐Durnerin, Isabelle; Poncelet, C.

doi:10.1016/j.fertnstert.2006.02.120

Cited by 17 publications

(15 citation statements)

References 27 publications

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“…En l'absence de plissement muqueux persistant, il existe des raisons de penser que le caractère non fonctionnel de la trompe est définitif quel que soit le résultat anatomique du traitement de l'obstruction distale. Toutefois, bien que des recommandations officielles existent concernant la prise en charge des hydrosalpinx [ 39 ], il est regrettable d'observer que moins de la moitié des centres pratiquant la FIV les appliquent [ 40 ].…”

Section: Discussionunclassified

Résultats de la plastie tubaire: étude tunisienne

Dimassi¹,

Gharsa²,

Chanoufi³

et al. 2014

Pan Afr Med J

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L'infertilité d'origine tubo-péritonéale est toujours d'actualité, sa fréquence reste stable, sinon croissante. La coelioscopie permet à la fois d'affirmer l'atteinte tubaire et de proposer un geste thérapeutique adapté. Le but de notre travail est d’évaluer les résultats de la chirurgie laparoscopique des pathologies tubaires en termes de grossesses obtenues. Il s'agit d'une étude rétrospective descriptive, analytique et longitudinale. Nous avons colligé les patientes suivies pour infertilité et opérées pour pathologies tubaires distales au service A du centre de maternité et de néonatologie de Tunis. Nous avons étudié les caractéristiques épidémiologiques et cliniques des patientes, les résultats de l'imagerie et détaillé les gestes chirurgicaux réalisés. Les résultats de la chirurgie tubaire distale étaient exprimés en termes de grossesses obtenues avec un recul minimal de 12 mois et maximal de 5 ans. 898 patientes étaient prises en charge dans le service pour une infertilité dont 52 patientes avaient répondu aux critères d'inclusion à l’étude. La sensibilité de l'hystérosalpingographie en matière de lésions tubaire était de 69% et la spécificité de 100%. Selon le score d'opérabilité tubaire distale, 23% des lésions étaient classées au stade 4 et 13.46% au stade 1. Le taux de grossesses spontanées était de 8.69%, soit 13% des fimbrioplasties et 4% des néosalpingostomie. Le délai de conception allait de 4 à 9 mois. Les antécédents ou stigmates d'infection pelvienne étaient retenus comme facteur de mauvais pronostic. Une sélection rigoureuse des patientes à partir des données de l'hystérographie et de la coelioscopie est indispensable afin de déterminer les patientes candidates à une chirurgie réparatrice ou à une fécondation in vitro

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Section: Discussionunclassified

Résultats de la plastie tubaire: étude tunisienne

Dimassi¹,

Gharsa²,

Chanoufi³

et al. 2014

Pan Afr Med J

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“…Indeed, surgical treatment of hydrosalpinges is recommended prior to IVF, especially when hydrosalpinges are visible on ultrasound [10], but salpingectomy should be only bilateral if the hydrosalpinges are bilateral [11]. To improve pregnancy rates in patients with hydrosalpinges without risking a decrease in ovarian response, alternatives to salpingectomy were proposed, such as neosalpingostomy and proximal tubal occlusion, yielding similar IVF outcomes [11,19,24]. Many studies have attributed the decrease in ovarian response after salpingectomy to surgical damage to the ovarian blood supply in the mesosalpinx [25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Effect of laparoscopic salpingectomy on subsequent ovarian response after controlled ovarian hyperstimulation

Yazbeck¹,

Boukadida²,

Chauvin³

et al. 2019

Clin J Obstet Gynaecol

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Background: The effect of salpingectomy on ovarian response is a matter of debate. Due to confl icting data, alternative techniques were developed to perform salpingectomy for treatment of hydrosalpinges in infertile patients. This study aims to evaluate the effect of salpingectomy on ovarian response after stimulation with gonadotropins. Methods: In a retrospective analysis, one hundred fi fty-seven patients with tubal infertility were divided into three groups according to their surgical histories: bilateral salpingectomy (BS group); unilateral salpingectomy (US group); and no history of salpingectomy (NS group). Ovarian response and IVF outcomes were compared between groups by analysis of variance. Prognostic factors for ovarian response were estimated by linear regression models. Results: In the BS group, the total numbers of oocytes retrieved, and embryos obtained were signifi cantly lower than those in the NS group (p = 0.02). Poor ovarian response was also more frequent in the BS group (p = 0.02). In the US group, follicle development was reduced on the operated side. This effect was more pronounced when salpingectomies were performed for hydrosalpinges than when performed for ectopic pregnancies, and signifi cant decreases were observed in follicle recruitment (p = 0.005) and oocyte retrieval (p = 0.02) on the operated side. Conclusion: Salpingectomy could have a minor negative effect on ovarian response. This is particularly true with bilateral salpingectomies, in which the ovarian blood supply could be disrupted, with no possible compensation by the contralateral side.

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“…As the most popular treatment option of clinicians, surgical intervention, such as laparoscopy/salpingectomy, laparotomy/salpingectomy, proximal occlusion, and distal salpingostomy, has been demonstrated to be effective on improving the rates of implantation and pregnancy, and reducing the rate of ectopic pregnancy and abortion . Among these procedures, laparoscopic salpingectomy accounts for about 70% of surgical interventions with the disadvantages of reduced ovarian responsiveness, and an increased surgical risk for patients with severe pelvic adhesions . Moreover, surgery inevitably increases the burden of costs and worries on patients.…”

Section: Discussionmentioning

confidence: 99%

“…1,10,11 Among these procedures, laparoscopic salpingectomy accounts for about 70% of surgical interventions with the disadvantages of reduced ovarian responsiveness, and an increased surgical risk for patients with severe pelvic adhesions. 20 Moreover, surgery inevitably increases the burden of costs and Data are presented as mean ± SD or as a percentage of the total number. EM, endometrial thickness; Gn, gonadotropin; ICSI, intracytoplasmic sperm injection; IVF, in vitro fertilization.…”

Section: Discussionmentioning

confidence: 99%