Wide excision of soft tissues adjacent to the ovary and fallopian tube does not impair the ovarian reserve in women undergoing prophylactic bilateral.

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Presentation transcript:

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  Roberta Venturella, M.D., Michele Morelli, M.D., Ph.D., Daniela Lico, M.D., Annalisa Di Cello, M.D., Morena Rocca, M.D., Angela Sacchinelli, M.D., Rita Mocciaro, M.D., Pietro D'Alessandro, M.D., Ph.D., Antonio Maiorana, M.D., Salvatore Gizzo, M.D., Fulvio Zullo, M.D., Ph.D.  Fertility and Sterility  Volume 104, Issue 5, Pages 1332-1339 (November 2015) DOI: 10.1016/j.fertnstert.2015.08.004 Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Standard salpingectomy. The tubes are removed by coagulation and resection of the tissue beginning from the very distal fimbrial end and proceeding toward the uterine cornu. The resection is performed at the level of the posterior tubal margin, carefully sparing the mesosalpinx. Fertility and Sterility 2015 104, 1332-1339DOI: (10.1016/j.fertnstert.2015.08.004) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Wide salpingectomy. The tubes are removed by coagulation and resection of the tissue starting from the distal fimbrial end. Resection is then performed at the uterine cornu and proceeds at the level of the ovarian margin and the uterus–ovarian ligament, including the entire mesosalpinx into the tubes, toward the fimbria. Fertility and Sterility 2015 104, 1332-1339DOI: (10.1016/j.fertnstert.2015.08.004) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions