关键词: endometriosis fallopian tube infertility leiomyoma minimally invasive surgical procedures ovarian cysts

Mesh : Humans Fertility Minimally Invasive Surgical Procedures Treatment Outcome Infertility

来  源:   DOI:10.1016/j.jogc.2023.03.004

Abstract:
To evaluate the benefits and risks of minimally invasive procedures in the management of patients with infertility and provide guidance to gynaecologists who manage common conditions in these patients.
Patients with infertility (inability to conceive after 12 months of unprotected intercourse) undergoing investigation and treatment.
Minimally invasive reproductive surgery can be used to treat infertility, improve fertility treatment outcomes, or preserve fertility. All surgery has risks and associated complications. Reproductive surgery may not improve fertility outcomes and may, in some instances, damage ovarian reserve. All procedures have costs, which are borne either by the patient or their health insurance provider.
We searched English-language articles from January 2010 to May 2021 in PubMed/MEDLINE, Embase, Science Direct, Scopus, and Cochrane Library (see Appendix A for MeSH search terms).
The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See online Appendix B (Tables B1 for definitions and B2 for interpretations of strong and conditional [weak] recommendations).
Gynaecologists who manage common conditions in patients with infertility.
RECOMMENDATIONS.
摘要:
评估微创手术在不孕症患者管理中的益处和风险,并为管理这些患者常见疾病的妇科医生提供指导。
接受调查和治疗的不孕患者(12个月无保护性交后不能怀孕)。
微创生殖手术可用于治疗不孕症,改善生育治疗结果,或保持生育能力。所有手术都有风险和相关并发症。生殖手术可能不会改善生育结果,在某些情况下,损害卵巢储备。所有的程序都有成本,由患者或其健康保险提供者承担。
我们在PubMed/MEDLINE搜索了2010年1月至2021年5月的英语文章,Embase,科学直接,Scopus,和Cochrane图书馆(MeSH搜索词见附录A)。
作者使用建议分级评估对证据的质量和建议的强度进行了评估,开发和评估(等级)方法。参见在线附录B(表B1中的定义和B2中的强和有条件的[弱]建议的解释)。
治疗不孕症患者常见疾病的妇科医生。
建议。
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