Abstract
The safe use of the transvaginal ultrasound probe for transabdominal oocyte retrieval in patients with vaginally inaccessible ovaries
Highlights
The oocyte retrieval, called oocyte pick up, is a crucial surgical route in the IVF cycle which affects the outcome of Assisted Reproductive Technology (ART)
1972 intra-cytoplasmic semen injection (ICSI) cycles were reviewed in the period between January 2012 and December 2017, among which were identified 21 women who had underwent contemporarily both transvaginal and transabdominal ultrasound-guided follicle aspiration
The transvaginal ultrasound-guided follicular aspiration has been worldwide adopted as the standard approach for oocyte retrieval, due to its safety, reproducibility and efficiency [18]
Summary
The oocyte retrieval, called oocyte pick up, is a crucial surgical route in the IVF cycle which affects the outcome of Assisted Reproductive Technology (ART). The oocyte pick up was carried out by laparoscopy [1,2]. It usually takes the insertion of three instruments into the woman’s abdomen by three small incisions. The first incision permits to insert the laparoscope at the lower edge of the navel, enabling the operator to see the ovaries and the follicles containing the oocytes. The second small incision is usually made on one side of the abdomen to insert an instrument to hold the ovaries in place. Laparoscopic oocyte retrieval has been progressively abandoned as it is a long and quite complex procedure, which may cause pain, bruising and itching after several days [3,4]. It exposes patients to severe risks for example infections, internal organ damages or bleeding and results in low rates of mature oocyte recovery and fertilization [5]
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