Background: Prophylactic Salpingectomy for the prevention of ovarian cancer has been recommended strongly. The aim of this study was to compare ovarian function in patients who undergo hysterectomy for benign reasons with or without bilateral Salpingectomy.Materials and Methods: This was a clinical‑trial study on patients undergone hysterectomy with/without bilateral Salpingectomy in Al‑Zahra Hospital, in 2015–2016. Demographic information (age, height, and weight) were recorded. Follicle stimulating hormone (FSH) and luteinizing hormone (LH) were measured in 2–5 days of menstrual cycle before operation. Patients were asked to refer in 6 months for follow‑up, including FSH and LH re‑measurement and also menopausal status examination. Patients were divided into age groups of 39–45, 46–50, and ≥51 and also groups of body mass index including 18.5–24.9, 25–29.9, and 30–34.9.Results: A total of 37 patients divided into two groups, including 22 patients undergone hysterectomy without Salpingectomy (H) and 15 undergone hysterectomy with bilateral Salpingectomy (H‑bS). The mean age (standard deviation) of Group H was 47.77 (3.03) and Group H‑bS was 48.47 (2.03) (P>0.05). Furthermore, the mean level of FSH and LH before surgery was not significantly different (P>0.05). The mean level of FSH and LH changes was not significant between H and H‑bS groups (P=0.17), (P=0.16).Conclusion: Bilateral Salpingectomy during hysterectomy did not increase the risk of ovarian dysfunction after 6 months follow‑up.

Introduction: Ectopic pregnancy (EP) is a life-threatening pregnancy complication and can cause maternal morbidity and mortality and early fetal death with the incidence rate of approximately 2% of all pregnancies. The rate of recurrence of EP increases in patients with a past history of EP. We present here two cases that have had three consecutive recurrent EPs during one year with different management. Case Presentation: Case 1: A 27-year-old woman gravida 3 Ep2 with 6 weeks gestational age was referred with abdominal pain. She had a history of two consecutive ectopic pregnancies 9 and 4 months ago that were treated with methotrexate (MTX) and right Salpingectomy. Transvaginal ultrasonography showed left tubal ectopic pregnancy with intra-abdominal bleeding. Left Salpingectomy was performed. Case 2: A 34-year-old women gravid 3 with a history of 2 consecutive Ep 11 and 6 months ago that were treated with left Salpingectomy and MTX, was referred. She was treated with two doses of MTX. Conclusions: The rate of recurrent EP considerably rises in patients with a history of the previous EP and considering this medical history is highly recommended in future pregnancies for early diagnosis.

Background & Objective: Permanent tubal sterilization during cesarean section is a reliable method of contraception. It is done either by bilateral tubal ligation or bilateral Salpingectomy according to the surgeon’s preference. To evaluate the effects of tubal ligation versus bilateral Salpingectomy during cesarean section in terms of pelvic venous congestion.Materials & Methods: A randomized clinical trial was conducted from January to August 2024 at Ain Shams University hospitals. Sixty-four pregnant women undergoing Cesarean section and requesting permanent contraception were randomized into two groups: tubal ligation (n=32) and bilateral Salpingectomy (n=32). Postoperative evaluation after ten weeks included a structured symptom questionnaire and transvaginal duplex ultrasound assessment for signs of pelvic venous congestion.Results: Ultrasound findings showed dilated pelvic plexus veins in 13.3% of the tubal ligation group and 6.9% of the Salpingectomy group (P=0.671). Crossing veins in the myometrium were present in 36.7% of tubal ligation patients versus 24.1% of Salpingectomy patients. Duplex waveform changes during Valsalva’s maneuver were detected in 13.8% of the tubal ligation group and 7.1% of the Salpingectomy group (P=0.670). The mean ovarian vein diameter measured 4.07±0.74 mm in the tubal ligation group compared to 3.83±0.85 mm in the Salpingectomy group (P=0.253).Conclusion: There were no significant differences between those getting bilateral Salpingectomy during a cesarean section and those undergoing tubal ligation in terms of intraoperative and postoperative outcomes, menstrual abnormalities, or pelvic venous congestion. Bilateral Salpingectomy demonstrated similar safety to tubal ligation in terms of operative complications, menstrual cycle disturbances, and pelvic pain.

Background: Patients with symptomatic ectopic pregnancy are treated surgically through either Salpingectomy or salpingostomy. There is evidence that laparoscopic Salpingectomy may reduce fertility due to the absence of one tube and in regard to the recurrence, some investigations have showed higher recurrence of ectopic pregnancy in salpingostomy than Salpingectomy but some others have reported equal recurrence in both techniques. This study compares the effects of laparoscopic Salpingectomy and laparoscopic salpingostomy on fertility outcome and recurrence of ectopic pregnancy. Method: This was a comparative study on a sample of pregnant women with tubal ectopic pregnancy who underwent a surgical treatment in a teaching hospital affiliated to Tehran University of Medical Sciences between 2014 and 2017. Women underwent either laparoscopic Salpingectomy (group 1) or laparoscopic salpingostomy (group 2). Fertility outcome and the rate of recurrence of ectopic pregnancy were compared between the two groups. Results: In whole, 390 pregnant women were treated surgically for ectopic pregnancy. Of these, 213 patients attempted to become pregnant after the surgery and were entered into the study (107 in group 1 and 106 in group 2). The frequency of intrauterine pregnancy was 55 in group 1 and 64 in group 2 while the frequency of ectopic pregnancy recurrence was 4 in group 1 and 3 in group 2 (P = 0. 45). Conclusion: The findings indicated that laparoscopic Salpingectomy and laparoscopic salpingostomy did not significantly differ in recurrence of ectopic pregnancy and intrauterine fertility.

Objectives: Ectopic pregnancy (EP) is the leading cause of early pregnancy accounting for 10-15% of pregnancy-related deaths. It is life-threatening condition where the majority of them present late. This study aims to evaluate the incidence, risk factors, clinical features, diagnosis, and management of EP in the tertiary care center. Materials and Methods: This study conducted a retrospective analysis of electronic medical records from June 2015 to June 2020, focusing on participants in the age group of 18 to 45 years, to examine the occurrence of EP. The data were analysed with simple descriptive statistics and presented in frequency tables and charts of age group, parity, anemia grades, risk factors and presenting symptoms. Results: The incidence of EP in the current study was 0. 38%. In the present study, 73. 8% of women were of 20–, 30-year-old. In this study, 54. 1% of women had a history of pelvic inflammatory disease (PID). Prior EP was seen in 19. 7 % of cases. 16. 4% of participants had a prior history of tubectomy and 19. 7% had a previous history of infertility treatment, and 21. 3% had a previous history of lower segment caesarean section (LSCS). In the present study, 65. 5% of women presented with amenorrhea of 4-8 week, and 95% had abdominal pain. In the present study, common site was the right fallopian tube in 73. 9% of cases. In this study, all cases need surgical management most common procedure carried out was Salpingectomy. intensive care unit (ICU) admission was needed in 26. 2% of cases, and no mortality was seen in our study. Conclusions: EP is a serious and potentially life-threatening condition. Early diagnosis and prompt management are crucial in reducing maternal mortality and morbidity rates.