Studies on the effectiveness of endoscopic surgery in reproductive medicine

摘要: This doctoral thesis appraises evidence-based practice in the field of reproductive surgery. Our search did not retrieve any randomized comparison tubal surgery versus expectant management or IVF measuring live birth pregnancy women with infertility. answers first research question present thesis. appraisal evidence on effectiveness hysteroscopy treating subfertile has identified limited for a benefit endometrial polyps before IUI and primary subfertility at least two failed attempts; moreover many knowledge gaps have been identified. The use barrier gel following operative might be considered: its may decrease formation adhesions as well their extent severity but data key outcomes are lacking. second our demonstrated an increase number improvement methodological quality published RCTs over recent years. part third There is move towards identifying accumulating highest evidence; inevitably, this should lead to greater bridge gap between daily clinical practice. Do we need more rather less EBM field? pros cons discussed final section.