blogger delicious digg diigo facebook googleplus linkedin netlog reddit twitter
Skip Navigation LinksJRI > Archive > January-March 2000, Volume 1, Issue 1 > A Study of Complications in 1120 Cases of Transvaginal Ultrasound - guided Oocyte Pick-up in IVF Centre of Yazd.



Volume 1, Issue 1, Number 1 / January-March
(pages 4-10)


A Study of Complications in 1120 Cases of Transvaginal Ultrasound - guided Oocyte Pick-up in IVF Centre of Yazd.




 Corresponding Author
Department of Obstet . and Gynecol . of Shahid Sadughi Medical Science of Yazd, Yazd, Iran

Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran

Department of Obstet . and Gynecol . of Shahid Sadughi Medical Science of Yazd, Yazd, Iran


Related Articles
in Google Scholar in PubMed

 

Other Format
pdfPDF Full Text (En) pdfPDF Full Text (Fa) pdfePUB Full Text (En) pdfPDF Abstract (En) pdfPDF Abstract (Fa) pdf BibTeX pdfRefMan pdfEndNote xmlPMC XML online readerPMC Reader

 


Abstract
Introduction: To determine the prevalence of oocyte pick up complications in 1120 cycles of IVF . Material and Methods: In this prospective study 1120 pationts that were reffered to infertility clinics for IVF were enrolled. The patients with the infertility following CO4 by regimens of CC+ hMG/hCG, hMG/hCG, hMG+ GnRH-a/hCG were punctured by transvaginal sonography, preformed after injection of sedatives. The follicular aspiration was performed only by vaginal preparation with sterile distilled water.The patients were discharged in an hour. Results: Vaginal bleeding was observed in 190 cases (17%), who were not severe and treated with vaginal pack and discharged after 2 hours after exit the vaginal pack.15 patients (1.3%) with severe abdominal pain were hospitalized for 24 hours, one with hypovolemic signs was operated by laparoscopy and ruptured ovary was cauterized. 3 cases (0.35%) with fever, chills and abdominal pain managed with diagnosis of PID. one patient with history of 2 previous laparatomy before IVF cycle, didn't respond to medical treatment and after further investigation pararectal abscess diagnosed which was managed surgically. Conclusion: Considering the number of patients, transvaginal follicular puncture is a safe procedure in oocyte retrieval In patients with history of PID, previous surgery and endometrioma prophylactic antibiotic was given at the time of oocyte puncture. Key words: Pelvic Infection, Follicular aspiration, Complications, Induction ovulation.

Keywords:


To cite this article:


References
  1. Schenker J.G., Ezra Y. Complication of assisted reproductive techniques [see comments] Fertil Steril.1994;61:3,411-22.
  2. Bilan FIVNAT. Responses aux stimulation del ovulation dams les procreation medicale-ment assiste (PMA). Contracept Fertil Sex (Paris).1989; 18:592-4.
  3. Bergh T., Lundkvist O. Clinical complica-tions during in vitro fertilization treatment. Hum reprod.1992;7(5):625.
  4. Ashkenazi J., David M., Feldberg D., Dicker D., Goldman J.A. Abdominal complication following ultrasonically guided percutaneous transvesical collection of oocytes for IVF. J in vitro Fert Embruo Transf.1987;4:316-8.
  5. Libery M., Lyons B., Sudaresan V. Ovarian necroziting vasculitis causing major intra-abdominal hemorrhage after IVF: case report and literature review. Br J Obstet Gynecol.1991;98: 596-9.
  6. Ezra Y., Shenker J.G. Appraisal of in vitro fertilization. Eur J Gynecol Reprod Biol. 1993;48: 127-33.
  7. Ezra Y., Aceman P., Shenker J.G. Update of in vitro fertilization. Isr J Obstet Gynecol. 1991;2: 149-52.
  8. Navot D., Bergh P.A., Loufer N. Ovarian hyperstimulation syndrome in novel reproduc-etive technologies. Prevention and treatment. Fertil Steril.1992; 58:249-61.
  9. Van Hoorde G.J., Verhoeff A., Zeilmaker G.H. Perforated appendicitis following transvaginal oocyte retrieval for in vitro fertilization and embryo transfer. Hum Reprod.1992;7(6):850-1.
  10. Howe R.S., Wheeler C., Mastroianni L. Jr., Blasco L., Tureck R. Pelvic infection after transvaginal ultrasound-guided ovum retrieval. Fertile Steril. 1988Apr; 49(4):726-8.
  11. Borlum K.G., Maigaard S. Transvaginal oocyte aspiration and pelvic infection. Lancet. 1989Jul; 1:2(8653):53.
  12. Meldrum D.R. Antibiotics for vaginal oocyte aspiration. J In vitro Fert Embryo Transf. 1989Feb; 6(1):12.
  13. Evers J.L., Larsen J.F., Gnany G.G., Sieck U.V. Complications and problems in transvaginal sector scan-guided follicle follicle aspiration. Fertil Steril. 1988Feb; 49(2):278-82.
  14. Bennett S.J., Waterstone J.J., Cheng W.C., Parsons J. Complications of transvaginal ultrasound-directed follicle aspiration: a review of 2670 consecutive procedures. J Assist Reprod Genet. 1993Jan; 10(1): 72-7.
  15. Govaerts I., Devreker F., Delbaere A., Revelard P., Englert Y. Short-term medical complicaton of 1500 oocyte retrievals for in vitro fertilization and embryo transfer. Eur J Obstet Gynecol Reprod Biol, 77(2):239-43 1998 Apr.
  16. Van Os HC, Roozenburg BJ, Janssen-Caspers HA, Leerentveld RA, Scholtes MC, Zeilmaker GH, Alberda AT. Vaginal disinfection with povidon iodine and the outcome of in vitro fertilization. Hum Reprod 1992 Mar; 7(3):349-50.
  17. Serour GI, Aboulghar M, Mansour R, Sattar MA, Amin Y. Aboulghar H Complications of medically assisted conception in 3.500 cycles. Fertil Stril 1998 Oct 70:4 638-42.
  18. Ashkenazi J, Farhi J, Dicker D, Feldberg D, Shalev J, Ben-Rafael Z. Acute pelvic inflammatory disease after oocyte retrieval: adverse effects on the results of implantation. Fertil Steril. 1994 Mar; 61(3):526-8.
  19. Kably Ambe A, Vielma Valdez A, Arredondo JL, Beltran Zuniga M, Alvarado Duran A. Evidence of antimicrobial activity of the follicular fluid: an evaluation and analytical study of samples obtained in an assisted reproduction program. Ginecol Obstet Mex. 1995 Apr;63:152-7.
  20. Younis S, Ezra Y, Laufer N, Ohel G. Late manifestation of pelvic abscess following oocyte retrieval for in vitro fertilization, in patients with severe endometriosis and ovarian endometriomata. Jof Assisted Reprod& Gnenetics. 1997;14:6;343-6.
  21. Yaron Y, Peyser MR, Samual D, Amit A, Lessing JB. Case report: Infected endometriotic cysts secondary to oocyte aspiration for in vitro fertilization. Hum Reprod. 1994;9:1759-60.
  22. Curtis P, Amso N, Keith E, Bernard A, Shaw RW. Evaluation of the risk of pelvic infection following transvaginal oocyte recovery. Hum Reprod. 1991;6:1294-7.
  23. Dulgi AM, Loy RA, Dieterle S, Bayer SR, Seibel MM: the effect of endometriomas on in vitro fertilization outcome. J Vitro Fert Embryo Transfer. 1989;6:338-341.
  24. Wei CF, Chen SC. Pelvic abscess after ultrasound-guided aspiration of endometrioma: a case report. Chung Hua I Hsueh Tsa Chih (Taipei). 1998 Oct;61(10):603-7.
  25. Sauer MV, Paulson RJ. Pelvic abscess complicating transcervical embryo transfer. Am J Obstet Gynecol. 1992;Jan; 166(1 Pt 1): 148-9.
  26. Milunsky A, Ulcickas M, Rothman KJ,Willett W, Jick H. Maternal heat exposure and neural tube defects JAMA 1992 Aug. 19;268(7): 882-5.
  27. Giri SN, Emau P, Cullor JS, Stabenfeldt GH, Bruss ML, Bondurant RH, Osburn BI. Effect of endotoxin infusion on circulating levels of eicosanoids, progesterone, cortisol, glucose and lactic acid, and abortion in pregnant cows. Vet Microbiol. 1990 Jan;21(3):211-31.



Home | About Us | Current Issue | Past Issues | Submit a Manuscript | Instructions for Authors | Subscribe | Search | Contact Us

"Journal of Reproduction & Infertility" is owned, published, and copyrighted by Avicenna Research Institute .
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

Journal of Reproductoin and Infertility (JRI) is a member of COMMITTEE ON PUBLICATION ETHICS . Verify here .

©2016 - eISSN : 2251-676X, ISSN : 2228-5482, For any comments and questions please contact us.