Management of Hydrosalpinx in the Era of Assisted Reproductive Technology: A Systematic Review and Meta-analysis
نویسندگان
چکیده
ObjectiveTo conduct a systematic review and meta-analysis evaluating the effect of hydrosalpinx on pregnancy outcomes, to compare different types management their impact rates as well ovarian reserve.Data SourcesElectronic search using Pubmed, EMBASE, Ovid MEDLINE, Google Scholar, ClinicalTrials.gov, Cochrane Central Register Controlled Trials including all published studies that examined tubal infertility its (assisted reproductive technology or surgery) effects reserve. The following medical subject headings (Mesh) terms combinations were used: “fallopian tube disease,” hydrosalpinx,” “tubal salpinx occlusion obstruction,” “in vitro fertilization,” surgery,” “salpingectomy,” “salpingostomy,” “infertility,” “subfertility,” “sterility” “ovarian reserve.”Methods Study SelectionAll randomized trials, cohort, case controls included. We excluded articles, meeting abstracts, series reports, abstracts without access full texts. was limited trials in humans English.Tabulation, Integration, ResultsOur electronic initially retrieved 6354 articles. Finally, 19 included quantitative evaluation hydrosalpinx: 23 qualitative 5 treatments; 17 presence associated with decreased implantation clinical pregnancy, increased ectopic miscarriage. Management salpingectomy, occlusion, aspiration led better fertilization rates. found no difference response stimulation after salpingectomy except decrease antimüllerian hormone compared surgery.ConclusionsThe is rate hydrosalpinx, regardless type treatment, leads an chance pregnancy.
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ژورنال
عنوان ژورنال: Journal of Minimally Invasive Gynecology
سال: 2021
ISSN: ['1553-4650', '1553-4669']
DOI: https://doi.org/10.1016/j.jmig.2020.08.017