Single-port laparoscopic neosalpingostomy for hydrosalpinx

Abstract

Background: To describe the surgical technique and our initial experience of single-port laparoscopic neosalpingostomy (SP-LN) for treatment of hydrosalpinx. Materials and methods: This prospective observational study was carried out at University teaching hospitals. Ten women underwent SP-LN for hydrosalpinx between November 2012 and December 2015. Results: The mean (range) age and body mass index were 29.3 (21–36) years and 22.2 (17.7–27.1) kg/m2, respectively. Six women had a history of previous abdominal surgery; laparoscopic unilateral salpingectomy for tubal pregnancy in two, laparoscopic appendectomy in three, and laparotomy appendectomy in one. Six women underwent unilateral SP-LN and nine women underwent bilateral SP-LN. The mean (range) operating time, hemoglobin change, return of bowel activity, and length of hospital stay were 91.5 (70–120) minutes, 0.7 (0.1–1.6) g/dL, 19.9 (7.1–25.4) hours, and 3.7 (3–4) days, respectively. There was no conversion to multiport laparoscopy or laparotomy. There were no surgical or wound complications in any patient. Conclusion: SP-LN might be a feasible and safe alternative in women with hydrosalpinx. However, further study is needed to confirm this preliminary result and to explore the obstetric outcomes following SP-LN.

Keywords

• fimbrioplasty
• hydrosalpinx
• laparoscopy
• neosalpingostomy
• single-port surgery