OLGU SUNUMLARI
Transabdominal Ultrason Eşliğinde Oosit Toplanması: Olgu Serisi
Oocyte Pick-up with Transabdominal Ultrasound: Case Series
Received Date : 18 Aug 2023
Accepted Date : 30 Aug 2023
Available Online : 05 Sep 2023
Recep Emre OKYAYa, Aslı AKDÖNERa, Onur YAVUZa, Erkan ÇAĞLIYANa,
Kadir Alper MANKANa
aDokuz Eylül Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum ABD, İzmir, Türkiye
Doi: 10.24074/tjrms.2023-99055 - Makale Dili: TR
TJRMS. 2023;7(2):75-80
ÖZET
İn vitro fertilizasyon tedavisinin uygulandığı ilk zamanlarda oosit toplama işlemi laparoskopik olarak yapılmaktayken, 1980’lerin başında transvajinal
yoldan oosit toplanması ile ilgili ilk olgular bildirilmeye başlanmıştır. Transvajinal yolun, transabdominal ve laparoskopiye göre pek çok
avantajı mevcuttur. Transvajinal yoldan oosit toplanması daha avantajlı olmasına rağmen bazı olgularda transabdominal yolun tercih edilmesi gerekebilmektedir.
Özellikle transvajinal yolla overlere ulaşmanın zor olduğu, daha yukarı yerleşimli overler söz konusu olduğunda transabdominal
yaklaşım tercih edilebilmektedir. Olgu serimizde, Ocak 2022-Mart 2023 tarihleri arasında, tüp bebek merkezimize başvuran ve transabdominal
olarak oosit toplanan 6 olgu sunulmuştur. Amacımız, yeni bir yöntem olarak transabdominal yolla yapılan oosit toplama işleminin, transvajinal
yolun uygun olmadığı ya da tercih etmeyen hastalarda güvenli bir alternatif olabileceğini göstermek ve oluşabilecek komplikasyonların yönetimi
ile ilgili literatüre katkıda bulunmaktır.
Anahtar Kelimeler: İn vitro fertilizasyon; oosit toplanması; infertilite; transabdominal oosit toplanması
ABSTRACT
While oocyte retrieval was performed laparoscopically in the early days of in vitro fertilization treatment, the first cases of transvaginal oocyte
retrieval began to be reported in the early 1980s. The transvaginal route has many advantages over transabdominal and laparoscopy. Although
oocyte collection by the transvaginal route is more advantageous, in some cases, the transabdominal route may be preferred. Transabdominal approach
can be preferred especially in case of higher located ovaries where it is difficult to reach the ovaries by transvaginal route. In our case series,
6 cases who applied to in vitro fertilization center between January 2022 and March 2023 and whose oocytes were collected transabdominally,
are presented. Our aim is to show that transabdominal oocyte retrieval as a new method can be a safe alternative for patients who do not prefer
the transvaginal route, and to contribute to the literature on the management of complications that may occur.
Keywords: Fertilization in vitro; oocyte retrieval; infertility; transabdominal oocyte pick-up
REFERANSLAR
- Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med. 2012;9(12):e1001356. [Crossref] [PubMed] [PMC]
- Lutz H, Buscarini E. Manual of Diagnostic Ultrasound. World Health Organization, Geneva, 2013.
- Gleicher N, Friberg J, Fullan N, Giglia RV, Mayden K, Kesky T, Siegel I. EGG retrieval for in vitro fertilisation by sonographically controlled vaginal culdocentesis. Lancet. 1983;2(8348):508-9 [Crossref] [PubMed]
- Dellenbach P, Nisand I, Moreau L, Feger B, Plumere C, Gerlinger P, Brun B, Rumpler Y. Transvaginal, sonographically controlled ovarian follicle puncture for egg retrieval. Lancet. 1984;1(8392):1467. [Crossref] [PubMed]
- Seifer DB, Collins RL, Paushter DM, George CR, Quigley MM. Follicular aspiration: a comparison of an ultrasonic endovaginal transducer with fixed needle guide and other retrieval methods. Fertil Steril. 1988;49(3):462-7. [Crossref] [PubMed]
- Barton SE, Politch JA, Benson CB, Ginsburg ES, Gargiulo AR. Transabdominal follicular aspiration for oocyte retrieval in patients with ovaries inaccessible by transvaginal ultrasound. Fertil Steril. 2011;95(5):1773-6. [Crossref] [PubMed]
- Sterzik K, Jonatha W, Keckstein G, Rossmanith W, Traub E, Wolf A. Ultrasonically guided follicle aspiration for oocyte retrieval in an in vitro fertilization program: further simplification. Int J Gynaecol Obstet. 1987;25(4):309-14. [Crossref] [PubMed]
- Raziel A, Vaknin Z, Schachter M, Strassburger D, Herman A, Ron-El R, Friedler S. Ultrasonographic-guided percutaneous transabdominal puncture for oocyte retrieval in a rare patient with Rokitansky syndrome in an in vitro fertilization surrogacy program. Fertil Steril. 2006;86(6):1760-3. [Crossref] [PubMed]
- Azem F, Yovel I, Wagman I, Kapostiansky R, Lessing JB, Amit A. Surrogate pregnancy in a patient who underwent radical hysterectomy and bilateral transposition of ovaries. Fertil Steril. 2003;79(5):1229-30. [Crossref] [PubMed]
- Damario MA. Transabdominal-transperitoneal ultrasound-guided oocyte retrieval in a patient with müllerian agenesis. Fertil Steril. 2002;78(1):189-91. [Crossref] [PubMed]
- Seval MM, Özmen B, Atabekoğlu C, Şükür YE, Şimşir C, Kan Ö, Sönmezer M. Dual trigger with gonadotropin-releasing hormone agonist and recombinant human chorionic gonadotropin improves in vitro fertilization outcome in gonadotropin-releasing hormone antagonist cycles. J Obstet Gynaecol Res. 2016;42(9):1146-51. [Crossref] [PubMed]
- Oktay K, Economos K, Kan M, Rucinski J, Veeck L, Rosenwaks Z. Endocrine function and oocyte retrieval after autologous transplantation of ovarian cortical strips to the forearm. JAMA. 2001;286(12):1490-3. [Crossref] [PubMed]
- Sönmezer M, Gülümser Ç, Sönmezer M, Sükür YE, Atabekoğlu C. Transabdominal ultrasound guided oocyte retrieval using vaginal ultrasound probe: Definition of the technique. J Obstet Gynaecol Res. 2021;47(2):800-6. [Crossref] [PubMed]
- Roman-Rodriguez CF, Weissbrot E, Hsu CD, Wong A, Siefert C, Sung L. Comparing transabdominal and transvaginal ultrasound-guided follicular aspiration: A risk assessment formula. Taiwan J Obstet Gynecol. 2015;54(6):693-9. [Crossref] [PubMed]