scholarly journals The safe use of the transvaginal ultrasound probe for transabdominal oocyte retrieval in patients with vaginally inaccessible ovaries

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Baldini D ◽  
Lavopa C ◽  
Vizziello G ◽  
Sciancalepore AG ◽  
Malvasi A
Author(s):  
Patricia M. Sequeira

In vitro fertilization (IVF) is a broad term used to describe the process of obtaining an egg and uniting it with sperm in a laboratory setting, and subsequently placing the fertilized egg into the uterus in hopes of achieving a live birth. In terms of anesthesiology, IVF primarily means oocyte retrieval. Historically the oocytes were retrieved laparoscopically. With the introduction of the vaginal ultrasound, the method of retrieval changed to a less invasive and costly procedure. Transvaginal ultrasound-guided oocyte aspiration changed the requirements of anesthesia. In this chapter, the anesthesia for oocyte retrieval and related IVF procedures are described.


1999 ◽  
Vol 51 (6) ◽  
pp. 1099-1119 ◽  
Author(s):  
K.J. Graff ◽  
M. Meintjes ◽  
V.W. Dyer ◽  
J.B. Paul ◽  
R.S. Denniston ◽  
...  

1994 ◽  
Vol 61 (1_suppl) ◽  
pp. 245-246
Author(s):  
B. Frea ◽  
E. Kocjancic ◽  
R. Musci ◽  
T. Meroni

The preliminary results of an ultrasound study of the anatomy of the female urethra are presented. In this study an intraluminal probe was used and the results were compared with permicturitional transvaginal ultrasound data. Both morphometric and morphological results of the two methods coincided. The images obtained with the intraluminal ultrasound probe gave more information on the urethral mucosa, allowing a circular display of the mucous layer being examined.


2015 ◽  
Vol 21 (5) ◽  
pp. e44-e45 ◽  
Author(s):  
Tatiana Catanzarite ◽  
Lia A. Bernardi ◽  
Edmond Confino ◽  
Kimberly Kenton

2011 ◽  
Vol 95 (5) ◽  
pp. 1773-1776 ◽  
Author(s):  
Sara E. Barton ◽  
Joseph A. Politch ◽  
Carol B. Benson ◽  
Elizabeth S. Ginsburg ◽  
Antonio R. Gargiulo

2004 ◽  
Vol 16 (2) ◽  
pp. 225 ◽  
Author(s):  
N.M. Loskutoff ◽  
T.R. Bowsher ◽  
J.A. Chatfield ◽  
G.A. Stones ◽  
J.W. Ramey ◽  
...  

Two young (ages: 15 and 16 yr;; studbook # 947 and # 939, respectively) parous female gorillas were initially primed with daily oral monophasic estrogen/progesterone treatment (Ovcon 35: Bristol-Myers Squibb Co., Princeton, NJ, USA) for 3 mo to synchronize their menstrual cycles. After withdrawing treatment, urine was tested daily for occult blood (Hemastix;; Baxter Healthcare Corp., Deerfield, IL, USA). On days 3–10 following the onset of menses (Day 1), ovarian activity was stimulated with 225 IU human FSH im (Repronex;; Ferring Pharmaceuticals, New South Wales, Australia). Then on Days 6–8 this treatment was combined with 25mg GnRH antagonist im (Antagon;; Organon, West Orange, NJ, USA) to prevent premature endogenous LH release. Final oocyte maturation was stimulated 36h after the last FSH/GnRH treatment with 10,000IU hCG im (Profasi;; Serono Lab., Hingham/Rockland, MA, USA) and oocyte retrieval was performed 36h post-hCG administration in sternal recumbency (knee-chest) using a 3–6mHz probe, 17-ga needles and 87mmHg (VMAR-5000 Regulated Vacuum Pump;; Cook Veterinary Products). Both gorillas displayed a thickened endometrium, and approximately 6 (# 947) to 10 (# 939) maturing follicles (10–15mm) were detected in each animal. In female # 947, one oocyte was collected but peritoneal fluid and pathology (hydrosalpinx) were also diagnosed and the right ovary showed no follicular development. A total of 3 oocytes were recovered in highly viscous follicular fluid containing massive amounts of cumulus cells. They were transported in a HEPES-buffered transport medium in a portable incubator (CryoLogic, Mulgrave, Victoria, Australia) at 37°C by airline immediately from Brownsville to Dallas, TX, USA, and within 6-h post-retrieval were fertilized by ICSI using cryopreserved sperm collected by rectal probe electrostimulation (age: est. 40yr ; studbook # 268). The fertilized oocytes were cultured in Gardner’s Sequential Medium at 37°C in 6% CO2 all three cleaved and developed to blastocysts by 115h post-ICSI. One high-quality expanding blastocyst was transported back to Brownsville, TX, and transferred transcervically into the oocyte donor (studbook # 939), and two fair-quality blastocysts were transported overnight to Omaha, NE, and transferred into a synchronized gorilla recipient (age: 29yr; studbook # 543/91). Weekly urine samples from the two embryo transfer recipients are being tested for pregnancy diagnosis using OvuQuick test strips (Quidel, San Diego, CA, USA). Acknowledgments: This research was supported in part by the Morris Animal Foundation (Ruth Morris Keesling Animal Health Study).


2021 ◽  
Author(s):  
Mingzhu Cao ◽  
Zhi Liu ◽  
Sichen Li ◽  
Yixuan Wu ◽  
Haiying Liu ◽  
...  

Abstract Background: A lack of formal and standard training program of assisted reproductive techniques, including oocyte retrieval procedure, is one common problem in China. It is obscure that how a novice trainee was trained to be qualified to perform oocyte retrieval procedure. The objective of this study was to determine the novice trainee’s learning curve for oocytes retrieval procedure through assessment of oocytes retrieval efficiency, operative time, and other operative characteristics. Methods: This retrospective cohort study included 200 consecutive patients undergoing transvaginal ultrasound guided oocytes retrieval procedure. Those patients underwent oocyte retrieval procedure by a single operator and one experienced supervisor. Their clinical data, including demographic data, ovarian stimulation cycle information, surgical procedure, and laboratory data were collected over 3 months. CUSUM analyses based on the operative time were performed to determine the learning curve. Results: The mean operative time was 10.10 min. Based on the CUSUM plot of operative time, the learning curve can be divided into three separated phases, phase 1 (case 1 to case 49) was learning phase, phase 2 (case 50 to case 130) was acquisition phase, and phase 3 (case 131 to case 200) was proficiency phase. The operative time was significantly shortened from phase 1 to phase 3 (phase 1, 13.37 ± 4.83min; phase 2, 10.21 ± 3.30 min; phase 3, 7.67 ± 3.24 min, P < 0.001). The oocyte retrieval efficiency was also notably improved from phase 1 to phase 3 (78.2% to 100% based on method 1 to determine oocyte retrieval efficiency, and 104.2% to 121.1% based on method 2 to determine oocyte retrieval efficiency). The retrieved oocytes number, the fertilization rate, clinical pregnancy rate among the three phases showed no significant differences. No patients had severe adverse events. As determined by multiple linear regression, learning phase is the only independent predictor of oocyte retrieval efficiency. Conclusion: Trainees practice transvaginal ultrasound guided oocytes retrieval are expected to achieve a stabilized procedure over consecutive training cases, with acquisition of the skills at 49 cases, and proficiency at 130 cases. Cumulative operative experience can improve the operative time and oocytes retrieval efficiency, but showed minimal influence on retrieved oocytes number and reproductive outcomes.


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