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Percutaneous oocyte recovery using ultrasound
Clinics in Obstetrics and Gynaecology
|December 1, 1985
Summary
Ultrasound-guided oocyte collection via percutaneous puncture offers an efficient method for retrieving eggs. This outpatient procedure achieves over 80% oocyte recovery, even in patients with pelvic adhesions.
Area of Science:
- Reproductive Medicine
- Medical Imaging
- Surgical Techniques
Background:
- Oocyte retrieval is crucial for assisted reproductive technologies.
- Minimally invasive techniques are sought to improve patient comfort and accessibility.
- Pelvic adhesions can complicate traditional oocyte collection methods.
Purpose of the Study:
- To describe a novel technique for oocyte collection using ultrasound-guided percutaneous puncture.
- To evaluate the efficacy and safety of this minimally invasive approach.
Main Methods:
- Utilized a sector scanner with a puncture transducer for ultrasound guidance.
- Employed a 16-gauge needle and syringe system for aspiration and follicular fluid collection.
- Performed the procedure as an outpatient treatment under local anesthesia, using the bladder as an ultrasonic window.
- Introduced the needle through the bladder into ovarian follicles, guided by real-time imaging.
Main Results:
- Achieved an oocyte recovery rate exceeding 80% per follicle with experienced practitioners.
- Successfully performed oocyte collection in patients with significant pelvic adhesions.
- Observed a low complication rate, with transient hematuria occurring in only 5% of cases.
Conclusions:
- Ultrasound-guided percutaneous oocyte collection is an effective and safe minimally invasive technique.
- This method offers a viable alternative for patients with pelvic adhesions.
- The procedure demonstrates high oocyte recovery rates and minimal complications.