294:-based anesthetic techniques result in significant concentrations of propofol in follicular fluid. As propofol has been shown to have deleterious effects on oocyte fertilization (in a mouse model), some authors have suggested that the dose of propofol administered during anesthesia should be limited, and also that the retrieved oocytes should be washed free of propofol. Anecdotal evidence suggests that certain airborne chemical contaminants and particles, especially
116:
containing cellular material, including the oocyte. The suction device must maintain a pressure of -140 mmHg (necessary to aspirate rapidly, but not enough to damage the follicles) and a temperature of approximately 37 °C. The follicular fluid is delivered to a technician in the IVF laboratory
313:
Endometriosis seems to cause a challenge for TVOR that may have reflection on individual surgeon's performance rates for the procedure, independently from the diameter of a pre-existing ovarian endometrioma (OMA) or ovarian adhesions. Obesity is another factor that may present a challenge for the
268:, and infection. Occurring more often in lean patients with polycystic ovary syndrome, ovarian hemorrhage after TVOR is a potentially catastrophic and not so rare complication. Additional complications may result from the administration of intravenous sedation or general anesthesia. These include
117:
to identify and quantify the ova. Once the ovarian follicles have been aspirated on one ovary, the needle is withdrawn and the procedure is repeated on the other ovary. It is not unusual to remove 20 oocytes as patients are generally
511:
Viscomi CM, Hill K, Johnson J, Sites C (January 1997). "Spinal anesthesia versus intravenous sedation for transvaginal oocyte retrieval: reproductive outcome, side-effects and recovery profiles".
125:
is achieved. The procedure usually lasts 10–20 minutes. Once the extraction is done, the sample is analyzed in the microscope to select and carry out the oocyte decumulation, a process where the
779:"Ovarian hemorrhage after transvaginal ultrasonographically guided oocyte aspiration: a potentially catastrophic and not so rare complication among lean patients with polycystic ovary syndrome"
999:
Dellenbach P, Nisand I, Moreau L, Feger B, Plumere C, Gerlinger P, Brun B, Rumpler Y (June 30, 1984). "Transvaginal, sonographically controlled ovarian follicle puncture for egg retrieval".
738:"Prevention of Ovarian Hyperstimulation Syndrome by Early Aspiration of Small Follicles in Hyper-responsive Patients With Polycystic Ovaries During Assisted Reproductive Treatment Cycles"
175:
This technique must be done very delicately, without stimulating the uterus, so that contractions do not occur. Minimizing patient anxiety is desirable to favor efficacy.
1178:
1533:
205:. There are significantly improved outcomes when patients are exposed to seminal plasma around the time of oocyte retrieval, with statistical significance for
347:
206:
480:"A comparison of intravenous general anesthesia and paracervical block for in vitro fertilization: effects on oocytes using the transvaginal technique"
450:
944:"Does the presence of endometriosis cause a challenge for transvaginal oocyte retrieval? A comparison between patients with and without endometriosis"
1559:
379:
1108:"Severe abdominal complications after transvaginal ultrasonographically guided retrieval of oocytes for in vitro fertilization and embryo transfer"
1171:
623:"The role of seminal plasma for improved outcomes during in vitro fertilization treatment: review of the literature and meta-analysis"
187:, nor result in an increase in oocyte yield. On the other hand, it requires a significantly longer operative time and more analgesia.
1164:
225:, where oocytes are pharmacologically stimulated to mature. When the ovarian follicles have reached a certain degree of development,
1048:
Bracha J.; Lotan M.; Zakut H. (1988). "Ovarian abscess following cesarean section. A case report and review of the literature".
1273:
330:
to recover oocytes when IVF was introduced, and laparoscopy was the major method of oocyte recovery until TVOR was introduced.
1290:
1351:
222:
118:
675:"Subcutaneous versus intramuscular administration of humanchorionicgonadotropin during an in vitro fertilization cycle"
1361:
818:
Christiaens, F; Janssenswillen, C; Verborgh, C; Moerman, I; Devroey, P; Van
Steirteghem, A; Camu, F (February 1999).
462:
391:
254:
241:(hCG). TVOR is typically performed 34–36 hours after hCG injection, when the eggs are fully mature but just prior to
149:
1341:
1316:
1187:
1071:"Ureteral lesion secondary to vaginal ultrasound follicular puncture for oocyte recovery in in-vitro fertilization"
81:
17:
1412:
354:
1424:
1371:
1528:
1356:
1268:
1075:
238:
202:
820:"Propofol concentrations in follicular fluid during general anaesthesia for transvaginal oocyte retrieval"
226:
108:, taking care not to injure nearby organs and blood vessels. The other end of the needle is attached to a
1580:
137:
109:
295:
258:
133:
572:
Farquhar, Cindy; Marjoribanks, Jane (2018-08-17). Cochrane
Gynaecology and Fertility Group (ed.).
409:"Sedation and anaesthesia for transvaginal oocyte collection: an evaluation of practice in the UK"
1407:
1402:
1387:
1233:
1142:
548:"Comparison of various sedation techniques for transvaginal oocyte retrieval in a daycare set up"
230:
77:
1538:
1472:
1417:
1311:
1300:
408:
234:
46:
819:
1429:
1321:
1243:
285:
8:
1441:
1392:
1336:
1331:
1256:
1251:
307:
172:
interfere with follicular cleavage and the technique requires multiple needle punctures.
153:
1467:
1434:
1203:
1026:
976:
943:
754:
737:
598:
573:
273:
161:
157:
145:
93:
1124:
1107:
1014:
691:
674:
673:
Stelling JR, Chapman ET, Frankfurter D, Harris DH, Oskowitz SP, Reindollar RH (2003).
524:
1518:
1228:
1223:
1213:
1129:
1094:
1057:
1018:
981:
963:
924:
883:
842:
800:
795:
778:
759:
696:
652:
644:
603:
528:
458:
431:
387:
141:
101:
1030:
919:
902:
1492:
1397:
1346:
1218:
1208:
1156:
1119:
1084:
1010:
1001:
971:
955:
914:
873:
834:
790:
749:
686:
634:
593:
589:
585:
547:
520:
491:
423:
169:
165:
113:
105:
97:
348:"Performing ultrasound-guided oocyte retrieval: RCN guidance for fertility nurses"
1523:
1482:
1326:
210:
126:
386:(2nd ed.). Cambridge, England: Cambridge University Press. pp. 120–5.
1487:
878:
861:
184:
61:
1143:"From Darwin to desflurane: anesthesia for assisted reproductive technologies"
1089:
1070:
838:
478:
Bumen S, Gunusen I, Firat V, Karaman S, Akdogan A, Tavmergen Goker EN (2011).
1574:
1543:
1446:
967:
715:
648:
299:
121:
in advance of this procedure. After completion, the needle is withdrawn, and
58:
959:
777:
Liberty G, Hyman JH, Eldar-Geva T, Latinsky B, Gal M, Margalioth EJ (2008).
639:
622:
457:(1st ed.). Oxford, England: Oxford University Press. pp. 198–205.
427:
306:
if present in sufficient concentrations in the ambient atmosphere of an IVF
261:
who have been hyperstimulated during previous assisted reproduction cycles.
1477:
1278:
985:
942:
Kasapoğlu, Işıl; Türk, Pınar; Dayan, Aylin; Uncu, Gürkan (September 2018).
846:
804:
763:
700:
656:
607:
532:
435:
73:
1133:
1098:
1061:
1022:
928:
887:
496:
479:
322:
This technique was first developed by Pierre
Dellenbach and colleagues in
1195:
327:
281:
112:. Once the follicle is entered, suction is carefully applied to aspirate
817:
1497:
1283:
621:
Crawford, G.; Ray, A.; Gudi, A.; Shah, A.; Homburg, R. (Mar–Apr 2015).
323:
122:
1451:
1261:
1068:
242:
193:
contains several proteins that interact with epithelial cells of the
1502:
1152:. San Francisco: International Anesthesia Research Society: 109–13.
574:"Assisted reproductive technology: an overview of Cochrane Reviews"
291:
269:
265:
69:
716:"HCG injection after ovulation induction with clomiphene citrate"
1105:
672:
64:. Transvaginal oocyte retrieval is more properly referred to as
1069:
Coroleu B.; Lopez-Mourelle F.; Hereter L.; et al. (1997).
303:
198:
194:
72:, as is normally the case in IVF. It can be also performed for
50:
862:"Ambient air and its potential effects on conception in vitro"
776:
253:
Injection of hCG as a trigger for ovulation confers a risk of
859:
277:
190:
54:
860:
Cohen J, Gilligan A, Esposito W, Schimmel T, Dale B (1997).
140:
transducer with an attached needle. TVOR is performed in an
998:
1106:
Dicker D.; Ashkenazi J.; Feldberg D.; et al. (1993).
144:
or a physician's office, with the (female) subject in the
1047:
735:
326:, France, and reported in 1984. Steptoe and Edwards used
477:
353:. London: Royal College of Nursing. 2004. Archived from
948:
Journal of the
Turkish German Gynecological Association
510:
264:
Complications of TVOR include injury to pelvic organs,
941:
900:
1050:
1186:
571:
620:
183:Follicular flushing has not been found to increase
80:and other assisted reproduction technology such as
736:Oyawoye OA, Chander B, Hunter J, Gadir AA (2005).
406:
1560:Reproduction and pregnancy in speculative fiction
1572:
811:
668:
666:
545:
901:Cohen J, Gilligan A, Willadsen S (June 1998).
614:
407:Yasmin E, Dresner M, Balen A (December 2004).
1172:
513:International Journal of Obstetric Anesthesia
707:
663:
770:
729:
453:. In Urman RD, Gross WL, Philip BK (eds.).
1179:
1165:
504:
1123:
1088:
975:
918:
894:
877:
853:
794:
753:
690:
638:
597:
539:
495:
400:
100:× 11.8″ (1.6 mm × 300 mm outer diameter)
903:"Culture and quality control of embryos"
471:
455:Anesthesia outside of the operating room
448:
442:
371:
178:
27:Technique used in in vitro fertilization
578:Cochrane Database of Systematic Reviews
451:"Anesthesia for in vitro fertilization"
377:
14:
1573:
713:
340:
298:(VOC), may be toxic to and impair the
96:guidance, the operator inserts a 16.5
1160:
136:, TVOR is currently performed with a
104:through the vaginal wall and into an
1140:
227:induction of final oocyte maturation
129:surrounding the oocyte are removed.
546:Saxena R, Sood J, Kumra VP (2005).
484:Turkish Journal of Medical Sciences
384:Practical gynaecological ultrasound
209:, but not for ongoing pregnancy or
68:when the oocytes have matured into
24:
1041:
221:TVOR is typically performed after
148:. TVOR is usually performed under
25:
1592:
1362:Preimplantation genetic diagnosis
255:ovarian hyperstimulation syndrome
213:with the limited data available.
1342:Intracytoplasmic sperm injection
1317:Autologous endometrial coculture
1188:Assisted reproductive technology
796:10.1016/j.fertnstert.2008.10.028
248:
992:
935:
1425:Gamete intrafallopian transfer
1372:Zygote intrafallopian transfer
590:10.1002/14651858.CD010537.pub5
565:
257:, especially in patients with
229:is performed, generally by an
168:is not typically used because
134:transabdominal ultrasonography
13:
1:
1529:Genetic diagnosis of intersex
1357:Partner-assisted reproduction
1125:10.1016/S0015-0282(16)55997-4
1015:10.1016/s0140-6736(84)91958-5
920:10.1093/humrep/13.suppl_3.137
692:10.1016/S0015-0282(02)04918-X
555:Indian Journal of Anaesthesia
525:10.1016/S0959-289X(97)80052-0
333:
31:Transvaginal oocyte retrieval
239:human chorionic gonadotropin
203:gestational immune tolerance
87:
7:
1367:Transvaginal ovum retrieval
1150:IARS Review Course Lectures
66:transvaginal ovum retrieval
10:
1597:
380:"Ultrasound and fertility"
317:
296:volatile organic compounds
132:Initially performed using
45:), is a technique used in
1552:
1534:Religious response to ART
1511:
1460:
1380:
1299:
1242:
1194:
742:Medscape General Medicine
627:Human Reproduction Update
259:polycystic ovary syndrome
216:
49:(IVF) in order to remove
1352:Ovarian hyperstimulation
879:10.1093/humrep/12.8.1742
243:rupture of the follicles
223:ovarian hyperstimulation
1388:Artificial insemination
1234:Male infertility crisis
1112:Fertility and Sterility
1090:10.1093/humrep/12.5.948
960:10.4274/jtgga.2017.0146
839:10.1093/humrep/14.2.345
783:Fertility and Sterility
679:Fertility and Sterility
170:local anesthetic agents
138:transvaginal ultrasound
78:oocyte cryopreservation
37:), also referred to as
1539:Mitochondrial donation
1473:Donor Sibling Registry
1312:Assisted zona hatching
1301:In vitro fertilisation
300:growth and development
235:subcutaneous injection
47:in vitro fertilization
640:10.1093/humupd/dmu052
497:10.3906/sag-1009-1101
428:10.1093/humrep/deh526
382:. In Bates, J (ed.).
360:on September 24, 2006
288:of stomach contents.
179:Adjunctive procedures
1430:Reproductive surgery
1322:Cytoplasmic transfer
1252:Estrogen antagonists
1244:Fertility medication
449:Sequeira PM (2011).
286:pulmonary aspiration
1442:Selective reduction
1393:Ovulation induction
1337:In vitro maturation
1332:Gestational carrier
1257:aromatase inhibitor
913:(Suppl 3): 137–44.
378:Killick, S (2006).
150:procedural sedation
1581:Fertility medicine
1468:Donor registration
1435:Vasectomy reversal
1076:Human Reproduction
907:Human Reproduction
866:Human Reproduction
827:Human Reproduction
714:Kovacs, P (2004).
416:Human Reproduction
274:airway obstruction
207:clinical pregnancy
201:, inducing active
158:paracervical block
154:general anesthesia
146:lithotomy position
1568:
1567:
1519:Accidental incest
1229:Fertility tourism
1224:Fertility testing
1141:Tsen, LC (2002).
162:spinal anesthesia
16:(Redirected from
1588:
1493:Semen collection
1398:Cryopreservation
1347:Oocyte selection
1219:Fertility clinic
1181:
1174:
1167:
1158:
1157:
1153:
1147:
1137:
1127:
1118:(6): 1313–1315.
1102:
1092:
1065:
1035:
1034:
996:
990:
989:
979:
939:
933:
932:
922:
898:
892:
891:
881:
857:
851:
850:
824:
815:
809:
808:
798:
774:
768:
767:
757:
733:
727:
726:
724:
723:
711:
705:
704:
694:
670:
661:
660:
642:
618:
612:
611:
601:
569:
563:
562:
552:
543:
537:
536:
508:
502:
501:
499:
475:
469:
468:
446:
440:
439:
413:
404:
398:
397:
375:
369:
368:
366:
365:
359:
352:
344:
211:live birth rates
166:Local anesthesia
114:follicular fluid
106:ovarian follicle
62:outside the body
39:oocyte retrieval
21:
18:Oocyte retrieval
1596:
1595:
1591:
1590:
1589:
1587:
1586:
1585:
1571:
1570:
1569:
1564:
1548:
1524:Fertility fraud
1507:
1456:
1376:
1327:Embryo transfer
1304:
1295:
1238:
1190:
1185:
1145:
1044:
1042:Further reading
1039:
1038:
997:
993:
940:
936:
899:
895:
858:
854:
822:
816:
812:
775:
771:
734:
730:
721:
719:
712:
708:
671:
664:
619:
615:
584:(8): CD010537.
570:
566:
550:
544:
540:
509:
505:
476:
472:
465:
447:
443:
411:
405:
401:
394:
376:
372:
363:
361:
357:
350:
346:
345:
341:
336:
320:
251:
219:
185:pregnancy rates
181:
160:, or sometimes
127:granulosa cells
119:hyperstimulated
90:
28:
23:
22:
15:
12:
11:
5:
1594:
1584:
1583:
1566:
1565:
1563:
1562:
1556:
1554:
1550:
1549:
1547:
1546:
1541:
1536:
1531:
1526:
1521:
1515:
1513:
1509:
1508:
1506:
1505:
1500:
1495:
1490:
1485:
1480:
1475:
1470:
1464:
1462:
1458:
1457:
1455:
1454:
1449:
1444:
1439:
1438:
1437:
1427:
1422:
1421:
1420:
1415:
1413:ovarian tissue
1410:
1405:
1395:
1390:
1384:
1382:
1378:
1377:
1375:
1374:
1369:
1364:
1359:
1354:
1349:
1344:
1339:
1334:
1329:
1324:
1319:
1314:
1308:
1306:
1305:and expansions
1297:
1296:
1294:
1293:
1288:
1287:
1286:
1276:
1271:
1266:
1265:
1264:
1259:
1248:
1246:
1240:
1239:
1237:
1236:
1231:
1226:
1221:
1216:
1211:
1206:
1200:
1198:
1192:
1191:
1184:
1183:
1176:
1169:
1161:
1155:
1154:
1138:
1103:
1066:
1043:
1040:
1037:
1036:
1009:(8392): 1467.
991:
954:(3): 151–157.
934:
893:
852:
810:
769:
728:
706:
662:
633:(2): 275–284.
613:
564:
538:
503:
470:
463:
441:
422:(12): 2942–5.
399:
392:
370:
338:
337:
335:
332:
319:
316:
250:
247:
218:
215:
180:
177:
142:operating room
110:suction device
89:
86:
26:
9:
6:
4:
3:
2:
1593:
1582:
1579:
1578:
1576:
1561:
1558:
1557:
1555:
1551:
1545:
1544:Sex selection
1542:
1540:
1537:
1535:
1532:
1530:
1527:
1525:
1522:
1520:
1517:
1516:
1514:
1510:
1504:
1501:
1499:
1496:
1494:
1491:
1489:
1486:
1484:
1481:
1479:
1476:
1474:
1471:
1469:
1466:
1465:
1463:
1459:
1453:
1450:
1448:
1447:Sex selection
1445:
1443:
1440:
1436:
1433:
1432:
1431:
1428:
1426:
1423:
1419:
1416:
1414:
1411:
1409:
1406:
1404:
1401:
1400:
1399:
1396:
1394:
1391:
1389:
1386:
1385:
1383:
1381:Other methods
1379:
1373:
1370:
1368:
1365:
1363:
1360:
1358:
1355:
1353:
1350:
1348:
1345:
1343:
1340:
1338:
1335:
1333:
1330:
1328:
1325:
1323:
1320:
1318:
1315:
1313:
1310:
1309:
1307:
1302:
1298:
1292:
1289:
1285:
1282:
1281:
1280:
1279:Gonadotropins
1277:
1275:
1274:GnRH agonists
1272:
1270:
1267:
1263:
1260:
1258:
1255:
1254:
1253:
1250:
1249:
1247:
1245:
1241:
1235:
1232:
1230:
1227:
1225:
1222:
1220:
1217:
1215:
1212:
1210:
1207:
1205:
1202:
1201:
1199:
1197:
1193:
1189:
1182:
1177:
1175:
1170:
1168:
1163:
1162:
1159:
1151:
1144:
1139:
1135:
1131:
1126:
1121:
1117:
1113:
1109:
1104:
1100:
1096:
1091:
1086:
1083:(5): 948–50.
1082:
1078:
1077:
1072:
1067:
1063:
1059:
1055:
1051:
1046:
1045:
1032:
1028:
1024:
1020:
1016:
1012:
1008:
1004:
1003:
995:
987:
983:
978:
973:
969:
965:
961:
957:
953:
949:
945:
938:
930:
926:
921:
916:
912:
908:
904:
897:
889:
885:
880:
875:
872:(8): 1742–9.
871:
867:
863:
856:
848:
844:
840:
836:
832:
828:
821:
814:
806:
802:
797:
792:
788:
784:
780:
773:
765:
761:
756:
751:
747:
743:
739:
732:
717:
710:
702:
698:
693:
688:
684:
680:
676:
669:
667:
658:
654:
650:
646:
641:
636:
632:
628:
624:
617:
609:
605:
600:
595:
591:
587:
583:
579:
575:
568:
560:
556:
549:
542:
534:
530:
526:
522:
518:
514:
507:
498:
493:
489:
485:
481:
474:
466:
464:9780195396676
460:
456:
452:
445:
437:
433:
429:
425:
421:
417:
410:
403:
395:
393:9780521674508
389:
385:
381:
374:
356:
349:
343:
339:
331:
329:
325:
315:
311:
309:
305:
301:
297:
293:
289:
287:
283:
279:
275:
271:
267:
262:
260:
256:
249:Complications
246:
244:
240:
236:
232:
231:intramuscular
228:
224:
214:
212:
208:
204:
200:
196:
192:
191:Seminal fluid
188:
186:
176:
173:
171:
167:
163:
159:
155:
151:
147:
143:
139:
135:
130:
128:
124:
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115:
111:
107:
103:
99:
95:
85:
83:
79:
75:
71:
67:
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1284:menotropins
1196:Infertility
561:(2): 16–21.
328:laparoscopy
314:procedure.
282:hypotension
57:, enabling
1498:Sperm bank
722:2011-08-01
718:. Medscape
364:2011-08-01
334:References
324:Strasbourg
272:caused by
266:hemorrhage
123:hemostasis
94:ultrasound
1452:Surrogacy
1262:clomifene
968:1309-0399
748:(3): 60.
649:1355-4786
308:incubator
88:Procedure
1575:Category
1503:Ova bank
1461:Donation
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805:19064264
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608:30117155
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292:Propofol
270:asphyxia
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1553:Related
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1134:8495784
1099:9194645
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1023:6145902
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929:9755420
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51:oocytes
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217:Timing
199:uterus
195:cervix
102:needle
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1488:Sperm
1418:semen
1303:(IVF)
1146:(PDF)
1027:S2CID
823:(PDF)
551:(PDF)
412:(PDF)
358:(PDF)
351:(PDF)
278:apnea
98:gauge
55:ovary
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1209:Male
1130:PMID
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582:2018
529:PMID
459:ISBN
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388:ISBN
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1291:hCG
1269:FSH
1120:doi
1085:doi
1011:doi
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