Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population

Bayrak, Aykut; Harp, Djana; Saadat, Peyman; Mor, Eliran; Paulson, Richard J.

doi:10.1007/s10815-006-9050-4

Cited by 16 publications

(4 citation statements)

References 31 publications

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“…The pooled clinical pregnancy rate of these 12 studies was 31%. One study published by Bayrak et al (2006) had a higher mean age (35.5 years) and had the lowest clinical pregnancy rate (5%). This may suggest that salpingostomy and waiting for natural pregnancy are not a suitable management strategy in older women with hydrosalpinx.…”

Section: Discussionmentioning

confidence: 99%

Salpingostomy in the treatment of hydrosalpinx: a systematic review and meta-analysis

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Salpingostomy in the treatment of hydrosalpinx: a systematic review and meta-analysis

et al. 2015

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“…However, serious concerns remain that a restored tube could expose the patient to a high, unnecessary risk of ectopic pregnancy [ 12 ]. According to Bayrak et al , functional repair of hydrosalpinx in adult patients treated for infertility by laparoscopic neosalpingostomy is not recommended because of the dismal spontaneous pregnancy rate and an up to 70% incidence of recurrence of hydrosalpinx, which requires a second surgery before IVF [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Isolated fallopian tube torsion with partial hydrosalpinx in a premenarcheal girl: a case report

2014

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IntroductionIsolated fallopian tube torsion as a complication of a preexisting hydrosalpinx is a rare finding in pediatric patients. The obvious rarity of this condition, its subtle diagnostic features and dissonant previous reporting about the appropriate therapeutic approach according to age, future conception capacity and potential complications of possible pregnancies make the decision about which surgical approach to use very difficult. In this report, we describe the case of a patient with such a presentation and review the literature. Very few similar reports of neosalpingostomy in pediatric patients have been published to date.Case presentationIn our present report, we describe the case of an 11-year-old Caucasian prepubertal girl who presented to our hospital with complaints of abdominal pain in the right lower quadrant, nausea and vomiting. The diagnostic workup led us to conclude that she had a torsion of the right ovary, which was cystically altered. Exploratory surgery revealed a partial hydrosalpinx and consecutive isolated torsion of the fimbrial part. The proximal isthmic part of the fallopian tube was intact and vital. Restorative surgery was performed to create a neosalpingostomy on the viable isthmic part of the tube and remove the cystic and twisted fimbrial and infundibular parts.ConclusionThe surgical procedure described in this report is technically simple and feasible, but leaves doubts about the final outcome.

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“…Alternatively, some surgeons apply bipolar energy to the serosa to contract the serosa and thereby evert the cut ends without placing sutures. The increasing success of IVF combined with evidence for a high rate of recurrence in poor prognosis population has seen this surgery becoming almost obsolete [41].…”

Section: Tubal Surgerymentioning

confidence: 99%

The current and future state of surgery in reproductive endocrinology

Bhagavath¹

2022

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of reviewThe last decade has witnessed a radical change in the field of reproductive surgery. The increasing success of in-vitro fertilization (IVF) has caused a huge shift in emphasis with many downstream consequences. This review outlines the changes and provides insight into the future of reproductive surgery. Recent findingsWith compelling evidence that IVF overcomes the detrimental effects of endometriosis on infertility and with two new oral medications available for management of endometriosis, momentum is shifting towards nonsurgical management of endometriosis. There is increasing recognition that except for submucous myomas, other myomas are unlikely to affect fertility and miscarriage. This, in addition to many emerging alternative modalities for management of myomas (oral GnRH antagonists, radiofrequency ablation), is likely to further decrease classic myomectomies but provide alternative, less invasive options. Caesarean scar defects have been recognized as having significant reproductive consequences and surgical management has become the standard of care. Fallopian tubes are now implicated in development of ovarian cancer, and as a result, salpingectomies are being performed in lieu of tubal ligations. Tubal anastomosis will soon become a historical surgery. Division of uterine septum remains controversial, and a clear answer will remain elusive. Uterine transplant is the single most significant advance in reproductive surgery in the past century. SummaryReproductive surgery is evolving with the times. Although some surgical techniques will become historical, others will become mainstream.

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Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population

Cited by 16 publications

References 31 publications

Salpingostomy in the treatment of hydrosalpinx: a systematic review and meta-analysis

Salpingostomy in the treatment of hydrosalpinx: a systematic review and meta-analysis

Isolated fallopian tube torsion with partial hydrosalpinx in a premenarcheal girl: a case report

The current and future state of surgery in reproductive endocrinology

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