الفهرس 
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Abstract
This prospective cohort study was carried out in the department Obstetrics and Gynecology at Suez Canal University Hospital to compare effect of both surgical techniques of management of hydrosalpinx on ovarian reserve.
The aim was to Improve in vitro fertilization outcome in cases of hydrosalpinx by proper surgical maneuver, and to evaluate the effect of laparoscopic salpingectomy versus proximal tubal division on ovarian reserve in terms of AMH, FSH levels, AFC, ovarian volume, and ovarian artery waveform indices.
Surgical outcome includes operative time, variation of hemoglobin level, postoperative hospital stay and complication rate were also evaluated.
Two groups; salpingectomy and PTD group were selected. Each group included 20 women with unilateral communicating hydrosalpinx diagnosed by hysterosalpingography or by transvaginal ultrasound and confirmed during laparoscopy were evaluated for ovarian reserve before and 3 months after intervention in each patient.
The two groups, salpingectomy and PTD group were matched regarding demographic and clinical characteristics e.g. age, type and years of infertility, parity, smoking, body mass index or previous pelvic surgery.
No statistically significant differences were found between the two groups regarding baseline ovarian reserve parameters (p>0.05) indicating that both groups were comparable for ovarian reserve.
After management, there was statistically significant decrease in AMH level in salpingectomy group compared to PTD group but no significant change in FSH level between both group.