Journals / Turkish Journal of Medical Sciences / 2020 / Cilt: 50 - Sayı: 4

Comparison of the efficacy between bilateral proximal tubal occlusion and total salpingectomy on ovarian reserve and the cholinergic system: an experimental study

Pages
1097–1105
Publication Date
2020-08-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: Compared to the bilateral proximal tubal occlusion performed by using bipolar cautery, bilateral total salpingectomy in rats leads to a significant damage in ovarian histopathology and the cholinergic system.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background and aim: To compare the effects of bilateral proximal tubal occlusion and bilateral total salpingectomy on ovarian reserve and the cholinergic system via rat experiment.
📊
Key Findings & Data:Materials and methods: Twenty-one adult female rats were randomly divided into the following three groups: G1 n = 7 , sham group; G2 n = 7 , bilateral total salpingectomy group; and G3 n = 7 , bilateral proximal tubal occlusion group.
💡
Conclusion & Impact:Conclusions: Compared to the bilateral proximal tubal occlusion performed by using bipolar cautery, bilateral total salpingectomy in rats leads to a significant damage in ovarian histopathology and the cholinergic system.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Ovarian reserve · proximal tubal occlusion · CHRM1

Abstract

Background and aim: To compare the effects of bilateral proximal tubal occlusion and bilateral total salpingectomy on ovarian reserve and the cholinergic system via rat experiment. Materials and methods: Twenty-one adult female rats were randomly divided into the following three groups: G1 n = 7 , sham group; G2 n = 7 , bilateral total salpingectomy group; and G3 n = 7 , bilateral proximal tubal occlusion group. Four weeks later, the abdomen of the rats was opened. The right ovarian tissues were stored in 10% formaldehyde, whereas the left ovarian tissues were stored at ?80 °C in aluminum foil. Serum samples were evaluated for antimullerian hormone. The right ovary was used for histological and immunoreactive examination, and the left ovary was used for tissue MDA analysis. Tissue samples were analyzed for MDA levels with spectrophotometric measurement, apoptosis with TUNEL staining, fibrosis score with Mason trichrome staining, ovarian reserve with HE staining, and cholinergic receptor muscarinic 1 CHRM1 level with immunoreactivity method. Results: Compared to G1 and G3, the number of corpus luteum with secondary follicles was significantly lower in G2, whereas the number of ovarian cysts and fibrosis and apoptosis scores increased significantly. The CHRM1 immunoreactivity was significantly lower in G2 than in G1 and G3. Conclusions: Compared to the bilateral proximal tubal occlusion performed by using bipolar cautery, bilateral total salpingectomy in rats leads to a significant damage in ovarian histopathology and the cholinergic system.

🔖

Cite This Article

ATILGAN, R., PALA, Ş., KULOĞLU, T., ŞANLI, C., YAVUZKIR, Ş., ÖZKAN, Z. S. (2020). Comparison of the efficacy between bilateral proximal tubal occlusion and total salpingectomy on ovarian reserve and the cholinergic system: an experimental study. Turkish Journal of Medical Sciences, Cilt: 50 - Sayı: 4, 1097–1105. https://ajindex.com/articles/113206

References (6)

  1. Aboulghlar MA, Mansour RT, Serour GI. Controversies in the modern management of hydrosalpinx. Human Reproduction Update 1998; 4 (6): 882-890
  2. Strandell A, Lindhard A. Why does hydrosalpinx reduce fertility? The importance of hydrosalpinx fluid. Human Reproduction 2002; 17 (5): 1141‐1145
  3. Volodarsky-Perel A, Buckett W, Tulandi T. Treatment of hydrosalpinx in relation to IVF outcome: a systematic review and meta-analysis. Reproductive BioMedicine Online 2019; 39 (3): 413-432. doi: 10.1016/j.rbmo.2019.04.012 4. Surrey ES, Schoolcraft WB. Laparoscopic management of hydrosalpinges before in vitro fertilization-embryo transfer: salpingectomy versus proximal tubal occlusion. Fertility and Sterility 2001; 75 (3): 612-617
  4. Kontoravdis A, Makrakis E, Pantos K, Botsis D, Deligeoroglou E, Creatsas G. Proximal tubal occlusion and salpingectomy result in similar improvement in in vitro fertilization outcome in patients with hydrosalpinx. Fertility and Sterility 2006; 86: 1642-1649
  5. Vignarajan CP, Malhotra N, Singh N. Ovarian reserve and assisted reproductive technique outcomes after laparoscopic proximal tubal occlusion or salpingectomy in women with hydrosalpinx undergoing in vitro fertilization: a randomized controlled trial. The Journal of Minimally Invasive Gynecology 2019; 26 (6): 1070-1075. doi: 10.1016/ j.jmig.2018.10.013 7. Xu B, Zhang Q, Zhao J, Wang Y, Xu D, Li Y. Pregnancy outcome of in vitro fertilization after Essure and laparoscopic management of hydrosalpinx: a systematic review and metaanalysis. Fertility and Sterility 2017; 108 (1): 84-95. doi: 10.1016/ j.fertnstert.2017.05.005 8. Chan CC, Ng EH, Li CF, Ho PC. Impaired ovarian blood flow and reduced antral follicle count following laparoscopic salpingectomy for ectopic pregnancy. Human Reproduction 2003; 18 (10): 2175-2180
  6. Findley AD, Siedhoff MT, Hobbs KA, Steege JF, Carey ET et al. Short -term effects of salpingectomy during laparoscopic hysterectomy on ovarian reserve: a pilot randomized controlled trial. Fertility and Sterility 2013; 100 (6): 1704-1708. doi: 10.1016/ j.fertnstert.2013.07.1997 10. Venturella R, Morelli M, Lico D, Di Cello A, Rocca M et al. Wide excision of soft tissues adjacent to the ovary and fallopian tube does not impair the ovarian reserve in women undergoing prophylactic bilateral salpingectomy: results from a randomized, controlled trial. Fertility and Sterility 2015; 104 (5): 1332-1339. doi: 10.1016/ j.fertnstert.2015.08.004 11. Sahin C, Taylan E, Akdemir A