Studies on the effectiveness of endoscopic surgery in reproductive medicine
Titel
Studies on the effectiveness of endoscopic surgery in reproductive medicine
Prijs
€ 39,95
ISBN
9789056297558
Uitvoering
Paperback
Aantal pagina's
254
Taal
Engels
Publicatiedatum
Afmetingen
15.6 x 23.4 cm
Inhoudsopgave
Toon inhoudsopgaveVerberg inhoudsopgave
Introduction and outline of thesis Chapter 1 The position of laparoscopy in current fertility practice. Chapter 2 The effectiveness of hysteroscopy for improving pregnancy rates in subfertile women: a systematic review. Chapter 3 Hysteroscopy for treating subfertility associated with suspected major uterine cavity abnormalities. Chapter 4 Anti- adhesion barrier gels following operative hysteroscopy for treating female subfertility: a systematic review and meta-analysis. Chapter 5 Anti-adhesion therapy following operative hysteroscopy for treating female subfertility. Chapter 6 Has there been any progress in evidence-based practice in reproductive surgery? Thesis summary and discussion Samenvatting proefschrift en discussie Appendices Abbreviations Co- authors and affiliations List of publications PhD Portfolio Dankwoord Curriculum Vitae

Jan Bosteels

Studies on the effectiveness of endoscopic surgery in reproductive medicine

De onderstaande tekst is niet beschikbaar in het Nederlands en wordt in het Engels weergegeven.
In the present doctoral thesis the evidence-based fundament for the shift from tubal reconstructive surgery to ART for treating tubal infertility is investigated. There is no randomised comparison between ART and reconstructive tubal surgery. Doing a laparoscopy in all cases of subfertility is not sensible given the availability of alternative and reliable diagnostic procedures to study tubal patency. The effectiveness of hysteroscopy for treating female subfertility is limited to some specific indications. There are many knowledge gaps in our current understanding of the effectiveness of hysteroscopic interventions in the treatment of subfertile women. These should be studied preferably by pragmatic randomized studies. The use of anti-adhesion barrier gels may decrease the incidence and the extent or severity of intrauterine adhesions following hysteroscopic surgery in subfertile women, but data on pregnancy and live birth rates are missing. Recent years have witnessed an increase in the number and the methodological quality of published reports of randomized studies on reproductive surgery. This may be linked to the CONSORT statement. The pros and cons of evidence-based practice in reproductive surgery are discussed at the end of this doctoral thesis.
Auteur

Jan Bosteels

Jan Bosteels obtained his MD Magna cum Laude at the Faculty of Medicine at the Catholic University of Leuven in 1987. From 1987 till 1992 he was trained in Obstetrics and Gynaecology at the University Hospital Gasthuisberg Leuven. He has worked as a staff member at the department of Obstetrics and Gynaecology since 1992. His fields of interest are reproductive medicine and endoscopic surgery. Since 2001 he is a also board member of the Flemish Society of Obstetrics and Gynaecology; at present he is the President of the society until 2016. And he is a part-time scientific collaborator at CEBAM, the Belgian Branch of the Dutch Cochrane Centre. Besides being a Cochrane author he is actively involved in teaching evidence-based medicine. He is external validator for the KCE, the Belgian equivalent of NICE. Since 2012 he is Associate-Editor of Gynaecological Surgery, the peer-reviewed journal of the European Society of Gynaecological Endoscopy (ESGE).