الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Tubal diseases, particularly hydrosalpinx, has a detrimental effect on in vitro fertilization (IVF) cycle outcome. Although, prophylactic salpingectomy for large hydrosalpinges could improve pregnancy and live birth rate in women undergoing IVF, the effect of salpingectomy on ovarian function remains a matter of debate.
Proximal tubal occlusion, when performed in women with unilateral or bilateral hydrosalpinges before their IVF treatment, represents a potentially beneficial surgical procedure, increasing significantly the chances for successful implantation and for clinical and ongoing pregnancy. Proximal tubal occlusion may be viewed as a valid alternative when salpingectomy is technically difficult or not feasible.
The aim of this study was to compare IVF-ET cycle details and outcome in patients with hydrosalpinges managed by either laparoscopic salpingectomy or proximal tubal cut.
This study was carried out on a cohort of sixty infertile patients with hydrosalpinges undergoing laparoscopic salpingectomy and proximal tubal division before invitro-fertilization.
This study was conducted in laparoscopy and assisted reproductive units of the Shatby University hospital
The patients were randomly allocated to two groups; using G.Power software: group (I) undergoing laparoscopic salpingectomy and group (II) undergoing laparoscopic proximal tubal division.
Result showed that management of hydrosalpinges by laparoscopic salpingectomy or proximal tubal occlusion yielded statistically similar responses to controlled ovarian hyperstimulation and IVF-ET cycle outcome. But salpingectomy adversely affect ovarian reserve.