The outcomes of pregnancies after laparoscopic surgeries for pathologic changes on distal oviduct: A systematic review and meta-analysis

摘要: Abstract Objective This systematic review and meta-analysis were aimed to summarize the body of evidence on prognosis after laparoscopic surgeries for pathological conditions distal oviducts, then, furthermore, evaluate prognostic factors pregnancy outcomes. Methods We conducted a this topic, with question formulated as “what is fimbrioplasty, salpingostomy, or salpingoneostomy patients pathologic oviducts.” searched Medline EMBASE June 1st, 2020. Two investigators (HH ZY) independently screened references all retrieved records potentially eligible studies by firstly, through titles abstract, then full-text. A study would be included if it was primary reporting outcomes laparascopic surgery. rates pregnancy, ectopic live birth, miscarriage performed using random effect model. Results identified 3861 21 reports 2473 participants. The pooled estimate rate 35.1% (95% CI: 30.7%–39.7%, I2 ​= ​78%, low certainty). estimates birth rate, 24.4% 20.2%–28.8%, I2 ​= ​58%; 1154 participants; certainty), 6.2% 4.4%–8.2%, I2 ​= ​61%; 2363 4.6% 2.8%–6.9%, I2 ​= ​10%; 544 Our analyses suggested that more damaged tubal associated decreased moderate severe adhesion had lower compared mild pelvic adhesion. Conclusion estimated pathology fimbrioplasty salpingostomy. Low certainty surgery can restore function cure infertility should considered an alternative in vitro fertilization. Tubal damage stage are worse