Surgical treatment for hydrosalpinx prior to in‐vitro fertilization embryo transfer: a network meta‐analysis

@article{Tsiami2016SurgicalTF,
  title={Surgical treatment for hydrosalpinx prior to in‐vitro fertilization embryo transfer: a network meta‐analysis},
  author={Alexandra P. Tsiami and Anna Chaimani and Dimitris Mavridis and Maria Siskou and Efstratios Assimakopoulos and Alexandros Sotiriadis},
  journal={Ultrasound in Obstetrics \& Gynecology},
  year={2016},
  volume={48}
}
The presence of hydrosalpinx impairs the outcome of in‐vitro fertilization embryo transfer (IVF‐ET). Surgical methods to either aspirate the fluid or isolate the affected Fallopian tubes have been attempted as a means of improving outcome. The aim of this network meta‐analysis was to compare the effectiveness of surgical treatments for hydrosalpinx before IVF‐ET. 
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A clinical guide for whether to perform a fresh embryo transfer or to opt for freezing all embryos in specific situations is provided.
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TLDR
Embryonic development may be significantly affected only in high-concentration HF, possibly due to the deficiency of essential elements required for embryonic development, and TNF-α and IL-2 in HF do not appear to exert adverse effects on embryonic development.
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References

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TLDR
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TLDR
Patients who underwent aspiration of hydrosalpinges demonstrated a significantly increased implantation, clinical pregnancy rates and no pregnancies occurred in the four patients with uterine fluid collection detected during IVF-ET cycles.
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