Effect of minimally invasive surgery on stress reaction and fallopian tube patency in patients with salpingocyesis

• Main Authors: Yu-Ping Li, Li-Li Jin, Fei Wang, Xiao-Dong Zhao
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2016-11-01
• Series: Journal of Hainan Medical University
• Subjects: Salpingocyesis; Laparoscopic surgery; Open surgery; Conservative treatment; Stress reaction; Fallopian tube patency
• Online Access: http://www.hnykdxxb.com/PDF/201622/33.pdf

Objective: To observe the effect of minimally invasive surgery on the stress reaction and fallopian tube patency in patients with ectopic pregnancy (EP). Methods: A total of 90 patients with EP who were admitted in our hospital from May, 2013 to May, 2015 and had reproduction requirements were included in the study and randomized into the laparoscope group and the open group. The patients in the open group were given routine open conservative surgery, while the patients in the laparoscope group were given laparoscopic conservative surgery. Ang-Ⅱ, ALD, VEGF, Cor, ALT, and AST levels before operation, 1 and 3d after operation in the two groups were compared. Salpingography was performed 3 months after operation to compare the patency of affected fallopian tube after operation. Results: The differenceof serum Ang-Ⅱ, Cor, ALD, and VEGF levels before operation between the two groups was not statistically significant (P>0.05). The serum Ang-Ⅱ, Cor, ALD, and VEGF levels 1 and 3 d after operation in the laparoscope group were significantly lower than those in the open group (P<0.05). The difference of serum ALT and ASTL levels before operation, 1 and 3d after operation between the two groups was not statistically significant (P>0.05). The patency rate of affected fallopian tube in the laparoscope group (84.44%) was significantly higher than that in the open group (46.67%) (P<0.05). Conclusions: The laparoscopic minimally invasive surgery has less stress reaction in patients with salpingocyesis when compared with the traditional open surgery, with good patency of affected fallopian tube; therefore, it should be preferred in the clinic.