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001-es BibID:	BIBFORM122260
035-os BibID:	(scopus)85196622246
Első szerző:	Etrusco, Andrea
Cím:	Impact of surgery on reproductive outcomes in women with deep endometriosis and proven presurgical infertility : facts and controversies / Etrusco Andrea, Chiantera Vito, Serra Pietro, Stabile Guglielmo, Margioula-Siarkou Chrysoula, Della Corte Luigi, Giampaolino Pierluigi, Török Péter, Baldini Giorgio Maria, Ghezzi Fabio, D'Amato Antonio, Lagana Antonio Simone
Dátum:	2024
ISSN:	1521-6934
Megjegyzések:	In women with proven infertility and deep endometriosis (DE), optimal management is controversial. To date, there is no clear evidence on the association between infertility and different stages of rASRM, nor is there clear guidance from leading scientific societies for surgical treatment of DE patients. A comprehensive literature search was conducted on the main databases for English-language trials describing the effectiveness of surgery for DE in patients with proven infertility; 16 studies were deemed eligible for inclusion in this systematic review (CRD42024498888). Quantitative analysis was not possible because of the heterogeneity of the data. A descriptive summary of the results according to location of pathology, surgical technique used, and whether assisted reproductive technology (ART) was needed or not was provided. A total of 947 infertile women were identified, 486 of whom became pregnant, with an average pregnancy rate of 51.3%. Our review suggests that surgery can be of valuable help in improving reproductive outcomes by improving the results of ART. It has not been possible to reach robust conclusions on the outcomes of surgery based on the location of DE because of the heterogeneity of evidence available to date. Overall, although some data encourage first-line surgical management, further investigation is needed to determine its effective application before or after ART failure.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Deep endometriosis Laparoscopic surgery Infertility Pregnancy outcomes Assisted reproductive technology
Megjelenés:	Best Practice & Research In Clinical Obstetrics & Gynaecology. - [Epub ahead of print] (2024). -
További szerzők:	Chiantera, Vito Serra, Pietro Stabile, Guglielmo Margioula-Siarkou, Chrysoula Della Corte, Luigi Giampaolino, Pierluigi Török Péter (1975-) (szülész-nőgyógyász) Baldini, Giorgio Maria Ghezzi, Fabio Damato, Antonio L. Laganà, Antonio Simone
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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