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Cited by 349

The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.

Hydrosalpinx and IVF outcome: a prospective, randomized multicentre trial in Scandinavia on salpingectomy prior to IVF *

Strandell, A., Lindhard, A., Waldenström, U., Thorburn, J., Janson, P.O., Hamberger, L.·1999·Human Reproduction

Abstract

Many retrospective studies have shown that hydrosalpinx is associated with poor in-vitro fertilization (IVF) outcome. The mechanism of the actual cause is not yet fully understood. A clinical practice of performing salpingectomy before IVF has developed, without any evidence from prospective trials. The aim of the present prospective randomized trial was to test if a salpingectomy prior to IVF was effective in terms of increased pregnancy rates. Patients with hydrosalpinx were randomized to either a laparoscopic salpingectomy or no intervention before IVF. A total of 204 patients was available for an intention-to-treat analysis and 192 actually started IVF. Clinical pregnancy rates per included patient were 36.6% in the salpingectomy group and 23.9% in the non-intervention group (not significant, P = 0.067) and the ensuing delivery rates were 28.6% and 16.3% (P = 0.045). The corresponding delivery rates per transfer cycle were 29.5% versus 17. 5% (not significant, P = 0.083). A subgroup analysis revealed significant differences in favour of salpingectomy, in implantation rates in patients with bilateral hydrosalpinges (25.6% versus 12.3%, P = 0.038) and in clinical pregnancy rates (45.7% versus 22.5%, P = 0.029) and delivery rates (40.0% versus 17.5%, P = 0.038) in patients with ultrasound visible hydrosalpinges. The delivery rate was increased 3.5-fold in patients with bilateral hydrosalpinges visible on ultrasound (P = 0.019).

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Metadata

Authors
Strandell, A., Lindhard, A., Waldenström, U., Thorburn, J., Janson, P. O., & Hamberger, L.
Venue
Human Reproduction
Published
1999-11
Volume
14
Issue
11
Pages
2762-2769
ISSN
  • 0268-1161 (ISSN-L)
  • 1460-2350
OpenAlex
W2143020969
Cited by
349
References
18
FWCI
15.83
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Hydrosalpinx and IVF outcome: a prospective, randomized multicentre trial in Scandinavia on salpingectomy prior to IVF *. https://app.cochat.ai/papers/10.1093/humrep/14.11.2762
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Strandell, A., Lindhard, A., Waldenström, U., Thorburn, J., Janson, P. O., & Hamberger, L. (1999). Hydrosalpinx and IVF outcome: a prospective, randomized multicentre trial in Scandinavia on salpingectomy prior to IVF *. Human Reproduction. https://doi.org/10.1093/humrep/14.11.2762

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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