International Journal of
Reproductive Biomedicine
Sat, Apr 20, 2024
[Archive]
Volume 13, Issue 5 (7-2015)
IJRM 2015, 13(5): 311-316 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Bao H, Wang M, Wang X, Wang W, Hao C. Clinical application of operative hysteroscopy in treatment of complex hydrosalpinx prior to IVF. IJRM 2015; 13 (5) :311-316
URL: http://ijrm.ir/article-1-645-en.html
URL: http://ijrm.ir/article-1-645-en.html
1- Reproductive Medicine Center. Yantai Yuhuangding Hospital, Qingdao University, Yantai, China
2- Reproductive Medicine Center. Yantai Yuhuangding Hospital, Qingdao University, Yantai, China , bhch1005@126.com
2- Reproductive Medicine Center. Yantai Yuhuangding Hospital, Qingdao University, Yantai, China , bhch1005@126.com
Abstract: (2310 Views)
Background: In vitro fertilization and embryo transfer (IVF-ET) is the best option for patients with hydrosalpinx. However, if hydrosalpinges is not pre-treated, the therapeutic outcomes of IVF-ET would be compromised.
Objective: This study aims to investigate the safety and effects of operative hysteroscopy in the treatment of patients with hydrosalpinx prior to IVF-ET, who were not indicated for laparotomy due to extensive pelvic adhesion.
Materials and Methods: The study analyses retrospectively data from 10 women with hydrosalpinx, who were unable to undergo laparotomy due to extensive pelvic adhesion and treated by operative hysteroscopy prior to IVF-ET, and was assessed the effects and safety of the procedure.
Results: Postoperative Hystero-salpingography demonstrated complete tubal occlusion of the diseased side in all cases. Being applied with IVF-ET for fertility after their hysteroscopy operation, 5 out of 10 patients acquired clinical pregnancy.
Conclusion: Hysteroscopic tubal occlusion of the proximal part of the hydrosalpinx can effectively prevent the hydrops backflow to endometrial cavity and benefit subsequent implantation in the course of assisted reproduction without significant complications.
Objective: This study aims to investigate the safety and effects of operative hysteroscopy in the treatment of patients with hydrosalpinx prior to IVF-ET, who were not indicated for laparotomy due to extensive pelvic adhesion.
Materials and Methods: The study analyses retrospectively data from 10 women with hydrosalpinx, who were unable to undergo laparotomy due to extensive pelvic adhesion and treated by operative hysteroscopy prior to IVF-ET, and was assessed the effects and safety of the procedure.
Results: Postoperative Hystero-salpingography demonstrated complete tubal occlusion of the diseased side in all cases. Being applied with IVF-ET for fertility after their hysteroscopy operation, 5 out of 10 patients acquired clinical pregnancy.
Conclusion: Hysteroscopic tubal occlusion of the proximal part of the hydrosalpinx can effectively prevent the hydrops backflow to endometrial cavity and benefit subsequent implantation in the course of assisted reproduction without significant complications.
Type of Study: Original Article |
References
1. Strandell A, Lindhard A, Eckerlund I. Cost-effectiveness analysis of salpingectomyprior to IVF- based on randomized controlled trial. Hum Reprod 2005; 20: 3284-3292. [DOI:10.1093/humrep/dei244]
2. Ajonuma LC, Chan LN, Ng EH, Chow PH, Kung LS, Cheung AN, et al. Characterization of epithelial cell culture from human hydrosalpinges and effects of its conditioned medium on embryo development and sperm motility. Hum Reprod 2003; 18: 291-298. [DOI:10.1093/humrep/deg078]
3. Ozmen B, Diedrich K, Al-Hasani S. Hydrosalpinx and IVF: assessment of treatments implemented prior to IVF. Reprod Biomed Online 2007; 14: 235-241. [DOI:10.1016/S1472-6483(10)60792-4]
4. Surrey ES, Schoolcraft WB. Laparoscopic management of hydrosalpinges before in vitro fertilization-embryo transfer: salpingectomy versus proximal tubal occlusion. Fertil Steril 2001; 75: 612-617. [DOI:10.1016/S0015-0282(00)01742-8]
5. Chan CC, Ng EH, Li CF, Ho PC. Impaired ovarian blood flow and reduced antral follicle count following laparoscopic salpingectomy for ectopic pregnancy. Hum Reprod 2003; 18: 2175-2180. [DOI:10.1093/humrep/deg411]
6. Eftekhar M, Pourmasumi S, Motamedzadeh L. Coexisting pelvic tuberculosis and endometriosis presenting in an infertile woman: Report of a rare case. Iran J Reprod Med 2014; 12: 439-441.
7. Bayrak A, Harp D, Saadat P, Mor E, Paulson RJ. Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population. J Assist Reprod Genet 2006; 23: 285-288. [DOI:10.1007/s10815-006-9050-4]
8. Kontoravdis A, Makrakis E, Pantos K, Botsis D, Deligeoroglou E, Creatsas G. Proximal tubal occlusion and salpingectomy results in similar improvement in in vitro fertilization outcome in patients with hydrosalpinx. Fertil Steril 2006; 86: 1642-1649. [DOI:10.1016/j.fertnstert.2006.05.032]
9. LaCombe J, Ginsburg F. Adnexal torsion in a patient with hydrosalpinx who underwent tubal occlusion before in vitro fertilization. Fertil Steril 2003; 79: 437-438. [DOI:10.1016/S0015-0282(02)04672-1]
10. Rosenfield RB, Stones RE, Coates A, Matteri RK, Hesla JS. Proximal occlusion of hydrosalpinx by hysteroscopic placement of microinsert before in vitro fertilization-embryo transfer. Fertil Steril 2005; 83: 1547-1550. [DOI:10.1016/j.fertnstert.2004.10.056]
11. Mijatovic V, Veersema S, Emanuel MH, Schats R, Hompes PG. Essure hysteroscopic tubal occlusion device for the treatment of hydrosalpinx prior to in vitro fertilization-embryo transfer in patients with a contraindication for laparoscopy. Fertil Steril 2010; 93: 1338-1342. [DOI:10.1016/j.fertnstert.2008.11.022]
12. Omurtag K, Pauli S, Session D. Spontaneous intrauterine pregnancy after unilateral placement of tubal occlusive microinsert. Fertil Steril 2009; 92: 393. [DOI:10.1016/j.fertnstert.2009.03.047]
13. Vancaillie. Endometial electroablation. In: Sutton C Doiamond MP, editors. Endoscopic surgery for gynaecologists. London, W.B. Saunders Co Ltd; 1993: 313.
14. Zhang WX, Jiang H, Wang XM, Wang L. Pregnancy and perinatal outcomes of interventional ultrasound sclerotherapy with 98% ethanol on women with hydrosalpinx before in vitro fertilization and embryo transfer. Am J Obstet Gynecol 2014; 210: 250. [DOI:10.1016/j.ajog.2013.11.024]
15. Hammadieh N, Coomarasamy A, Ola B, Papaioannou S, Afnan M, Sharif K. Ultrasound-guided hydrosalpinx aspiration during oocyte collection improves pregnancy outcome in IVF: a randomized controlled trial. Hum Reprod 2008; 23: 1113-1117. [DOI:10.1093/humrep/den071]
16. Hinckley MD, Milki AA. Rapid reaccumulation of hydrometra after drainage at embryo transfer in patients with hydrosalpinx. Fertil Steril 2003; 80: 1268-1271. [DOI:10.1016/S0015-0282(03)01179-8]
17. Shokeir T. Letter to the Editor: Re: Comparison of IVF-ET outcomes in patients with hydrosalpinx pretreated with either sclerotherapy or laparoscopic salpingectomy. Clin Exp Reprod Med 2014; 41: 37-38. [DOI:10.5653/cerm.2014.41.1.37]
18. Darwish AM, El Saman AM. Is there a role for hysteroscopic tubal occlusion of functionless hydrosalpinges prior to IVF/ICSI in modern practice? Acta Obstet Gynecol Scand 2007; 86: 1484-1489. [DOI:10.1080/00016340701714893]
19. Stukan M, Kruszewski Wiesław J, Dudziak M, Kopiejć A, Preis K. Intestinal obstruction during pregnancy. Ginekol Pol 2013; 84: 137-141.
20. Kalu E, Sherriff E, Alsibai MA, Haidar M. Gestational intestinal obstruction: a case report and review of literature. Arch Gynecol Obstet 2006; 274: 60-62. [DOI:10.1007/s00404-005-0097-8]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
