-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: I question Ricardo-Jump in here. From: art fougner, md (evsono@pipeline.com) Wed Sep 14 18:00:17 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Katrina/Doctor Joe" Previous message: R. Daniel Braun: "Re: REI question Ricardo-Jump in here." In reply to: R. Daniel Braun: "Re: REI question Ricardo-Jump in here." Next in thread: Rafael Haciski: "Re: REI question Ricardo-Jump in here." Lynn, please see: Hum Reprod. 2002 Mar;17(3):543-8. Laparoscopic salpingectomy for women with hydrosalpinges enhances the success of IVF: a Cochrane review. Johnson NP, Mak W, Sowter MC. Division of Obstetrics and Gynaecology, University of Auckland, National Women's Hospital, Claude Road, Epsom, Auckland, New Zealand. n.johnson@auckland.ac.nz BACKGROUND: The aim of this study was to determine whether surgical intervention is effective for women with tubal disease who are due to undergo treatment with IVF. METHODS: A systematic review employing the principles of the Cochrane Menstrual Disorders and Subfertility Group was undertaken. Three randomized controlled trials were included, the population of women in all three studies having hydrosalpinges. RESULTS: The odds of pregnancy [odds ratio (OR) = 1.75, 95% confidence interval (CI) 1.07-2.86] and of ongoing pregnancy and live birth (OR = 2.13, 95% CI 1.24-3.65) were increased with laparoscopic salpingectomy for hydrosalpinges prior to IVF. There were no significant differences in the odds of embryo implantation (OR = 1.34, 95% CI 0.87-2.05), ectopic pregnancy (OR = 0.42, 95% CI 0.08-2.14), miscarriage (OR = 0.49, 95% CI 0.16-1.52) or treatment complications (OR = 5.80, 95% CI 0.35-96.79). No data were available concerning the odds of multiple pregnancy or the proportion of IVF cycles resulting in embryo transfer. CONCLUSION: Laparoscopic salpingectomy should be considered for all women with hydrosalpinges due to undergo IVF; further research is required to assess other pre-IVF surgical interventions (such as needle aspiration of hydrosalpinx fluid, laparoscopic proximal tubal occlusion and laparoscopic salpingostomy) for women with hydrosalpinges. hope this helps. Art At Wed, 14 Sep 2005, R. Daniel Braun wrote: > >Agree with Viv. >Maybe we can get Ricardo Savaris to tell us a little about this abd his >upcoming paper. >Dan > > On 9/14/05, Lynn D. Montgomery, M.D. <apgar10@montanadsl.net> wrote: >> >> Listers, >> Please update me here. I have a patient who had a diagnostic laparoscop >> in >> '03 where the findings were a hydrosalpinx on the right side and a >> proximal >> occlusion of the left tube. The remainder of the pelvis was relatively >> normal. They decided to endeavor upon an IVF cycle now. >> >> I got a one line note from the reproductive endocrinologist that state >> that >> she needed her right hydro removed before he would consider IVF. In >> addition, he told the patient that the hydro would cause her to have an >> elevated day 3 FSH therefore needed donor eggs and that the hydro woul >> also >> "wash out" any egg he implanted in the uterus. >> >> I have trouble believing that a long standing, "sterile" hydro would >> impede >> IVF success, effect ovulation resulting in an elevated day #3 FSH and ha e >> enough spillage to "wash out" an implanted egg. >> Lynn >> >> Lynn D. Montgomery, M.D. >> Maternal-Fetal Medicine, OB/GYN >> Rocky Mountain Women's Health >> 2835 Fort Missoula Rd., Suite 304 >> Missoula, Montana, 59804 >> 406-549-0978 >> fax 406-549-0987 >> e-mail: apgar10@montanadsl.net >> >-- >R. Daniel Braun >Kinky for Governor > -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: DoctorJoe@aol.com: "Re: Katrina/Doctor Joe" Previous message: R. Daniel Braun: "Re: REI question Ricardo-Jump in here." In reply to: R. Daniel Braun: "Re: REI question Ricardo-Jump in here." Next in thread: Rafael Haciski: "Re: REI question Ricardo-Jump in here."

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:40:55 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.