Evidence map›Paper›PMID 41250069›Full record

ArticleBMC pregnancy and childbirth2025

The effect of surgically-induced ampullary hydrosalpinx after salpingostomy for ectopic pregnancy on IVF/ICSI Outcomes.

Shuai Liu, JingRu Wang, You Wu, Fang Han, Mingming Deng, Yang Zhang, JiaNan Lv, Meng Wang, Lei Yan

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Shuai Liu *State Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Iinan, Shandong, 250012, China.
JingRu Wang *State Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Iinan, Shandong, 250012, China.
You WuState Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Iinan, Shandong, 250012, China.
Fang HanShandong Provincial Maternal and Child Health Care Hospital, Jinan, Shandong, 250012, China.
Mingming DengState Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Iinan, Shandong, 250012, China.
Yang ZhangState Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Iinan, Shandong, 250012, China.
JiaNan LvState Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Iinan, Shandong, 250012, China.
Meng WangQilu Second Hospital of Shandong University, Jinan, Shandong, 250012, China. wm13213776930@163.com.
Lei YanState Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Iinan, Shandong, 250012, China. yanlei@sdu.edu.cn.

Funding

Key R&D Program of Shandong Province 2023CXGC010505Sanming Project of Medicine in Shenzen Municipality No.SZSM202211020
6 · The paper itself

Abstract

backgroundSurgically-induced ampullary hydrosalpinx is a potential complication following salpingostomy for ectopic pregnancy, yet its impact on subsequent IVF/ICSI outcomes remains unclear. This study aimed to investigate the efficacy of surgical correction of this specific hydrosalpinx type.

methodsThis retrospective cohort study analyzed 374 patients diagnosed with ampullary hydrosalpinx via hysterosalpingography or hysterosalpingo-contrast sonography after previous salpingostomy for tubal ectopic pregnancy. Participants were divided into a surgically treated group (n = 86) and an untreated group (n = 74) for frozen embryo transfer (FET) cycles, with additional fresh transfer cycle data included. Primary outcomes included implantation rate, clinical pregnancy rate, live birth rate, and miscarriage rate.

resultsIn frozen embryo transfer cycles, the surgically treated group was linked to a markedly lower incidence of early miscarriage compared to the untreated group (5.6% vs. 20.0%, P = 0.028), with an adjusted odds ratio of 0.24 (95% CI: 0.06-0.93, P = 0.039). The surgically treated group also exhibited numerically higher rates of clinical pregnancy (62.8% vs. 60.8%) and live birth rates (58.1% vs. 47.3%), though these differences did not reach statistical significance. In fresh embryo transfer cycles, no significant differences in reproductive outcomes were observed between the two groups.

conclusionSurgical management of ampullary hydrosalpinx prior to frozen embryo transfer is associated with a significantly reduced risk of early miscarriage. These findings support considering surgical intervention, particularly salpingectomy, for patients with iatrogenic hydrosalpinx prior to FET to improve reproductive outcomes.

Indexed as

Fallopian Tube DiseasesFertilization in VitroPregnancy, EctopicSalpingostomySperm Injections, IntracytoplasmicAbortion, SpontaneousAdultEmbryo TransferFemaleHumansLive BirthPregnancyPregnancy RateRetrospective StudiesEarly miscarriageEctopic pregnancyFrozen embryo transferHydrosalpinxIVFSalpingostomySurgical intervention

Identifiers

PMID41250069
PMCPMC12625645

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.