S42 Abstracts / Journal of Minimally Invasive Gynecology 20 (2013) S1–S49

127 Open Communications 8dReproductive Issues Laparoscopic salpingestomy. Our results, demonstrate that the procedure
(3:20 PM d 3:25 PM) is safe and reproducible and can be offered to all patient with
hydrosalpinges prior to IVF treatments.
Combined Treatment of Women with Cervical Pregnancy in
Operative Gynecology
Adamyan LV, Chernova IS, Kozachenko AV. Russian Scientific Center 130 Open Communications 8dReproductive Issues
of Obstetrics, Gynecology and Perinatology, Moscow, Russian (3:38 PM d 3:43 PM)
Federation Short-Term Effects of Salpingectomy during Laparoscopic
Hysterectomy on Ovarian Reserve: A Randomized Controlled Trial
Study Objective: To evaluated the effectiveness of modern approaches and
Findley AD, Siedhoff MT, Hobbs KA, McCall CA, Carey ET, Steege JF,
technologies for preserving fertility in young nulliparous patients with
cervical pregnancy. Steiner AZ. Obstetrics and Gynecology, The University of North Carolina
at Chapel Hill, Chapel Hill, North Carolina
Design: Prospective and retrospective analysis of 26 cases.
Setting: Scientific Centre for Obstetrics, Gynecology and Perinatology
Study Objective: To compare the effects of salpingectomy or no
Moscow, Russia.
salpingectomy during laparoscopic hysterectomy on ovarian reserve when
Patients: 26 women with cervical pregnancies (ages 25-43 years). preservation of the ovaries is planned.
Intervention: Patients were treated in Operative Gynecology department Design: Randomized Controlled Trial.
during 7 recent years. 19 of them underwent combined therapy with Setting: University of North Carolina Hospitals (Chapel Hill, NC).
preoperative methotrexate chemotherapy and minimal invasive surgery
Patients: Premenopausal women aged 18-45 years who underwent
(resectoscopic removing of cervical pregnancies) for preserving fertility.
laparoscopic hysterectomy with ovarian preservation for benign
Measurements and Main Results: Clinical protocol included
indications from April 2012 to September 2012.
transvaginal ultrasound investigation with transducer for color Doppler
Intervention: Bilateral salpingectomy (n=15) versus no salpingectomy
mapping, magnetic resonance imaging to visualize gestational sac,
(n=15) at the time of laparoscopic hysterectomy with ovarian preservation.
definition of the boundaries between the chorion and stroma of the
Measurements and Main Results: Anti-mullerian hormone (AMH) was
cervix; definition of the blood flow intensity in the chorion, the
measured preoperatively, 4-6 weeks postoperatively, and 3 months
definition of b-subunit of human chorionic gonadotropin (b-hCG) in
postoperatively. Mean AMH levels between groups (salpingectomy vs.
serum in dynamics, general clinical research: clinical parameters,
no salpingectomy) did not differ significantly at baseline (2.26 vs.
biochemical blood tests and hemostasis in the dynamics, diagnostic
2.25ng/ml, p=.99), 4-6 weeks postoperatively (1.03 vs. 1.25ng/ml, p=.76),
hysteroscopy and followed resectoscopy with material removed. The
or 3 months postoperatively (1.86 vs. 1.82ng/ml, p=.97). Additionally, no
term of pregnancy on admission ranged from 5 to 9 weeks of gestation
significant temporal change in AMH levels was observed between groups
and the average term was 6,2  0,9 weeks. Patients with cervical
from baseline to 3 months postoperatively (-.07 vs. -.08ng/ml, p=.98).
pregnancy received methotrexate at an average of 50 mg/every 48
Conclusion: Salpingectomy at the time of laparoscopic hysterectomy has no
hours, leucovorin administered at a dose of 6 mg after 28 hours after
short-term deleterious effects on ovarian reserve as measured by AMH level.
methotrexate injection. The total dose of administered methotrexate
ranged from 200 to 300 mg and depended on the patient’s body
weight, week of gestation and intensity of chorion blood flow. 131 Open Communications 8dReproductive Issues
Conclusion: The results of this study suggest that resectoscopic removing (3:44 PM d 3:49 PM)
of embryo with previous cytostatic therapy with methotrexate in
The Effect of Embryo Transfer on IVF Treatment: Comparing the
combination with leucovorin allows to save fertility in young women with
Trans-Vaginal Versus Transabdominal Ultrasound Approach
early cervical pregnancy.
Deep JP,1 Li Y,1 Liu H.1 1Dept. of Reproductive Medicine, Xiangya
Hospital of Central South University, Changsha, Hunan, China; 2Dept. of
128 Reproductive Medicine, Xiangya Hospital of Central South University,
Changsha, Hunan, China; 3OB-Gyn, Xiangya Hospital of Central South
Abstract Withdrawn University, Changsha, Hunan, China

Study Objective: Embryo transfer under transabdominal ultrasound

129 Open Communications 8dReproductive Issues guidance has been well recognized in IVF world which significantly
(3:32 PM d 3:37 PM) increased clinical pregnancy rate. A specific type of vaginal probe of ke
shi ren liu ji as shown as - (Figure 1) was used for the first time to
Pregnancy Rates in IVF Patients with Hydrosalpinges Who
compare implantation and clinical pregnancy rates with transvaginal
Underwent Insertion of ESSURE Microinserts - A Multicenter Study versus transabdominal ultrasound guided embryo transfer.
Cohen SB,1 Revel A.2 1Obstetrics & Gynecology, Sheba Medical Center,
Ramat-Gan, Israel; 2Obstetrics&Gynecology, Hadassah Medical Center,
Jerusalem, Israel

Study Objective: To investigate the pregnancy success rates in IVF patients

with hydrosalpinges who underwent hysteroscopic proximal tubal occlusion
with ESSURE microinserts.
Design: Prospective multicenter study.
Setting: 2 Tertiary medical centers.
Patients: 42 IVF patients with hydrosalpinges.
Intervention: Hysteroscopic insertion of ESSURE microinserts prior to
IVF treatment in women with Hysdrosalpinges.
Measurements and Main Results: A total of 42 patients underwent
hysteroscopic insertion of ESSURE microinserts prior to IVF treatments
successfully. 18 out 33 (54.5%) patient who tried to conceive post this
treatment succeeded. 12 out of 33 (36.3%) patients who conceived
delivered live births after consecutives IVF cycles.
Conclusion: Hysteroscopic proximal occlusion of hydrosalpinges with
ESSURE microinserts before IVF can be offered as alternative for Design: A prospective, randomized clinical trial.