Guideline No. 435: Minimally Invasive Surgery in Fertility Therapy

Tarek Motan; Antaki R; Roland Antaki; Han J; Jinglan Han; Jason Elliott; Elliott JE; Heather Cockwell; Cockwell H

doi:10.1016/j.jogc.2023.03.004

Guideline No. 435: Minimally Invasive Surgery in Fertility Therapy

Tarek Motan, Antaki R, Roland Antaki, Han J, Jinglan Han, Jason Elliott, Elliott JE, Heather Cockwell, Cockwell H

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2023 · vol. 45(4) , pp. 273–282.e2 · doi:10.1016/j.jogc.2023.03.004 · PMID:37149339 · W4368351774

article OA: closed CC0 ⤵ 3 in-corpus citations

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This guideline evaluates the benefits, risks, and costs of minimally invasive surgery for infertility patients to aid gynecologists in managing common conditions.

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Abstract

OBJECTIVE: 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. TARGET POPULATION: Patients with infertility (inability to conceive after 12 months of unprotected intercourse) undergoing investigation and treatment. BENEFITS, HARMS, AND COSTS: 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. EVIDENCE: 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). VALIDATION METHODS: 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). INTENDED AUDIENCE: Gynaecologists who manage common conditions in patients with infertility. SUMMARY STATEMENTS: RECOMMENDATIONS.

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Condition tags

infertility

MeSH descriptors

Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility Fertility

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Cited by (3)

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License: CC0 · commercial use OK

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[2] Comparison of the symptoms and localisation of endometriosis involvement according to fertility status of endometriosis patients via openalex

[3] Fecundity of Infertile Women with Minimal or Mild Endometriosis And Women with Unexplained Infertility via openalex

[4] Fertility Outcomes After Ablation Using Plasma Energy Versus Cystectomy in Infertile Women With Ovarian Endometrioma: A Multicentric Comparative Study via openalex

[5] Fertility Outcomes After Laparoscopic Cystectomy in Infertile Patients with Stage III–IV Endometriosis: a Cohort with 6–10 years of Follow-up via openalex

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[8] Laparoscopic surgery for endometriosis via openalex

[9] Laparoscopic Surgery in Infertile Women with Minimal or Mild Endometriosis via openalex

[10] Long‐term cumulative pregnancy rate in women with unexplained infertility after laparoscopic surgery followed by <i>in vitro</i> fertilization or <i>in vitro</i> fertilization alone via openalex

[11] Long-term GnRH agonist therapy before in vitro fertilisation (IVF) for improving fertility outcomes in women with endometriosis via openalex

[12] Long-term pituitary down-regulation before in vitro fertilization (IVF) for women with endometriosis via openalex

[13] Ovarian damage after laparoscopic endometrioma excision might be related to the size of cyst via openalex

[14] Reproductive Performance after Surgery for Endometriosis: Predictive Value of the Revised American Fertility Society Classification and the Endometriosis Fertility Index via openalex

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[18] The Impact of Excision of Ovarian Endometrioma on Ovarian Reserve: A Systematic Review and Meta-Analysis via openalex

[19] The management of unexplained infertility: an evidence-based guideline from the Canadian Fertility and Andrology Society via openalex

[20] The role of laparoscopy in intrauterine insemination: a prospective randomized reallocation study via openalex

[21] Use of laparoscopy in unexplained infertility via openalex

[22] doi:10.1016/j.ejogrb.2021.01.050 via openalex

[23] doi:10.1007/s00404-015-3998-1 via openalex

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