Women, salpinxs operated concerning pathology, have features of assisted reproductive technologies

Abstract

DOI: 10.52705/2788-6190-2026-01-13
УДК 618.12-089.168.1-02:618.177-089.888.11-039

The objective: to estimate influence of operative interferences concerning pathology of salpinxs on the results of assisted reproductive technologies.
Materials and methods. From 342 patients with infertility 143 women (57,5 %) had in anamnesis operative interferences on the appendages of uterus, 288 cycles in vitro fertilization – transplantation of embryos completed and made the basic group of research (group 1). Operative interferences were executed: 58 (41 %) patients in anamnesis took place to the operation on ovaries; 37 (26 %) patients in anamnesis took place to the operation on salpinxs; to 48 (33 %) patients the united operations were conducted on ovaries and salpinxs. To the complex of the conducted researches were included clinical, laboratory instrumental and
statistical.
Results. For patients which have in anamnesis reconstructive plastic surgery on salpinxs, as compared to patients in which was mine-out salpingectomy of one or both salpinxs, it was observed: frequency of offensive of pregnancy did not differ in both groups – 21 (33 %) and 14 (39 %); made the more than half of unsuccessful results of pregnancy ectopic pregnancy – 9 (42%), indexes of frequency of pregnancies which do not develop, and frequencies of the involuntary breaking of pregnancies were alike in both groups: 2 (10 %) and 2 (14 %), 4 (19 %) and 2 (14 %) respectively. It goes out from it, that all organ-preserving operations on salpinxs for patients with infertility and ectopic pregnancy or hydrosalpinx not enough perspective, because afterwards result in the relapse of ectopic pregnancy and hydrosalpinx in 10 times more frequent, as compared to salpingectomy. 21 (38%) patients sub-group with a hydrosalpinx during stimulation and ovulation, had in anamnesis reconstructive plastic surgery on salpinxs.
Conclusions. Violation of difficult architectonics of mucus shell of salpinxs as a result of chronic inflammatory process, and similarly their injuring during operations is reason of low efficiency plastic surgery. A presence patients with infertility of hydrosalpinx or ectopic pregnancy have a certificate for implementation of salpingectomy, in place of organ-preserving operations, with the purpose of preparation of patients to the program in vitro fertilizatio.