Postoperative Ovarian Reservation Salpingectomy with Ovarian Preservation during Hysterectomy based on AMH Measurement Before and After Surgery: A Systematic Review and M

Introduction: To the best of our knowledge, there is no strong evidence for the effect of salpingectomy on the surgical outcome of a standard hysterectomy. Therefore, we decided to conduct a study entitled ovarian reservation after salpingectomy with ovarian preservation during hysterectomy based on AMH measurements before and after surgery as a review until 2019.Materials and Methods: In addition to the 503 studies found in the initial database search, two more studies identified through a reference list of related articles and a Google Scholar search were added. After removing duplicates, the titles and abstracts of the remaining 475 studies were reviewed and 30 studies were selected to review the full text. Then seven studies were deleted and finally 12 studies were reviewed and 11 of them were meta-analyzed.Results: AMH levels before and after salpingectomy were compared with patients in 12 studies. Compared with AMH before salpingectomy, AMH levels after salpingectomy were significantly lower (SMD = -0.35); 95% confidence interval (CI95%): -0.55 - -0.15 (p = 0.001). The results of studies on differences in AMH levels before and after salpingectomy did not show a statistically significant diffusion bias (Egger's P-value = 0.304).Conclusion: The present study showed that the level of AMH hormone was significantly reduced after salpingectomy. One of the limitations of the present study was the lack of surgical complications, the amount of intraoperative bleeding and the duration of surgery in most studies.