دورية أكاديمية
أعرض في EDS

Evaluation of follicular flushing with double lumen needle in patients undergoing assisted reproductive technology treatments.

التفاصيل البيبلوغرافية
العنوان: Evaluation of follicular flushing with double lumen needle in patients undergoing assisted reproductive technology treatments.
المؤلفون: Souza MM; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil., Mancebo ACA; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil., Souza MDCB; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil., Antunes RA; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil., Barbeitas AL; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil., Raupp VA; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil., Silva LABD; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil., Siqueira F; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil., Souza ALBM; Fertipraxis, Human Reproduction Center, Rio de Janeiro, Brazil.
المصدر: JBRA assisted reproduction [JBRA Assist Reprod] 2021 Apr 27; Vol. 25 (2), pp. 272-275. Date of Electronic Publication: 2021 Apr 27.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Brazilian Society of Assisted Reproduction Country of Publication: Brazil NLM ID: 101684552 Publication Model: Electronic Cited Medium: Internet ISSN: 1518-0557 (Electronic) Linking ISSN: 15175693 NLM ISO Abbreviation: JBRA Assist Reprod Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Brasília/DF : Brazilian Society of Assisted Reproduction, [2014]-
مواضيع طبية MeSH: Fertilization in Vitro* , Oocyte Retrieval*, Female ; Humans ; Needles ; Oocytes ; Pregnancy ; Pregnancy Rate ; Prospective Studies ; Reproductive Techniques, Assisted
مستخلص: Objective: The purpose of this study was to investigate the possible impact of follicular flushing on the number of oocytes retrieved and oocytes in metaphase II in patients with poor ovarian response (POR) compared to direct aspiration.
Methods: This prospective, comparative, randomized single center study included 208 punctures of patients with POR, submitted to assisted reproduction technology (ART) treatments. Two groups were compared; one in which double lumen needles were used (Wallace DNS1733) for follicular flushing (n=105), and one in which single lumen needles were used (Wallace ONS1733) for direct aspiration (n=103), upon the observation of ≤ 5 follicles between 15-17 mm, ≤ 4 follicles with sizes greater than 18 mm on hCG day, and ≤ 7 recovered oocytes.
Results: There were no differences in age (39.07±3.88 vs. 38.11±3.43); weight (61.73±17.53 vs. 65.96±15.44); AMH (0.63±0.59 vs. 0.94±0.97); stimulation days (9.57±1.87 vs. 10.29±2.82); estradiol levels (788.94±670.82 vs. 940.16±694.69); progesterone (617.29±319.76 vs. 561.18±486.78); or number of follicles with sizes ≥18 mm (1.84±0.95 vs. 2.07±1.09). Although gonadotropin totals (1678.28±798.52 vs. 2080.45±852.36; p=0.0008), number of aspirated oocytes (3.00±2.11 vs. 3.69±2.20; p=0.02), and number of metaphase II oocytes (2.20±1.64 vs. 2.99±1.88; p=0.02) were significantly different, oocyte / follicle ratio ≥15 mm (0.93 vs. 0.98) and metaphase II oocytes / follicles ≥15 mm (0.68 vs. 0.79) were similar in both groups. The failure to capture was 16% vs. 9.8%.
Conclusions: Considering that there was no difference in the oocyte per follicle ratio, follicular flushing did not increase the number of oocytes recovered from poor responders.
References: Br J Obstet Gynaecol. 1992 Oct;99(10):841-4. (PMID: 1419996)
Hum Reprod. 2017 Apr 1;32(4):832-835. (PMID: 28333185)
Fertil Steril. 2016 Jun;105(6):1452-3. (PMID: 26921622)
Fertil Steril. 2011 Feb;95(2):812-4. (PMID: 20970129)
J Assist Reprod Genet. 2012 Nov;29(11):1249-54. (PMID: 23065177)
Fertil Steril. 2009 Apr;91(4 Suppl):1381-4. (PMID: 18675970)
Fertil Steril. 1987 May;47(5):812-5. (PMID: 3106105)
J Assist Reprod Genet. 2017 Oct;34(10):1353-1357. (PMID: 28733801)
Hum Reprod. 2011 Jul;26(7):1616-24. (PMID: 21505041)
Reprod Biomed Online. 2008 Jan;16(1):119-23. (PMID: 18252057)
J Hum Reprod Sci. 2015 Apr-Jun;8(2):98-102. (PMID: 26157301)
Aust N Z J Obstet Gynaecol. 2001 May;41(2):210-3. (PMID: 11453275)
Hum Reprod. 2012 Aug;27(8):2373-9. (PMID: 22647450)
Hum Reprod. 2013 Nov;28(11):2990-5. (PMID: 24014603)
Lancet. 1981 May 23;1(8230):1163-4. (PMID: 6112519)
BMC Womens Health. 2018 Nov 16;18(1):186. (PMID: 30445950)
Reprod Biomed Online. 2003 Jun;6(4):439-43. (PMID: 12831590)
Cochrane Database Syst Rev. 2010 Sep 08;(9):CD004634. (PMID: 20824839)
J Obstet Gynaecol. 2005 May;25(4):374-6. (PMID: 16091324)
Arch Gynecol Obstet. 2012 Oct;286(4):1061-4. (PMID: 22714067)
فهرسة مساهمة: Keywords: in vitro fertilization; instrumentation; oocyte retrieval; ovarian follicle
تواريخ الأحداث: Date Created: 20210427 Date Completed: 20220201 Latest Revision: 20220201
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8083866
DOI: 10.5935/1518-0557.20210009
PMID: 33904666
قاعدة البيانات: MEDLINE
الوصف
تدمد:1518-0557
DOI:10.5935/1518-0557.20210009