Literature DB >> 23065177

Follicular flushing during oocyte retrieval: a systematic review and meta-analysis.

Matheus Roque1, Marcos Sampaio, Selmo Geber.   

Abstract

PURPOSE: The purpose of this systematic review and meta-analysis was to examine the literature and identify randomized controlled trials (RCTs), in order to answer if performing follicular flushing during the oocyte retrieval may improve the assisted reproductive technologies (ART) outcomes.
METHODS: An exhaustive electronic search was performed using MEDLINE and EMBASE databases. Only RCTs comparing follicular flushing to aspiration only during ART, were included. We included 5 trials, with a total of 482 patients randomized, with median ages ranging from 30.5 to 37.1.
RESULTS: The data analyses did not show significant differences regarding live birth rate, clinical pregnancies rates, and the number of oocytes retrieved. The duration of oocyte retrieval was significantly increased in the follicular flushing group.
CONCLUSIONS: The results from this systematic review and meta-analysis suggest that there is no advantage to use of routine follicular flushing during OR in an unselected group of patients.

Entities:  

Mesh:

Year:  2012        PMID: 23065177      PMCID: PMC3510361          DOI: 10.1007/s10815-012-9869-9

Source DB:  PubMed          Journal:  J Assist Reprod Genet        ISSN: 1058-0468            Impact factor:   3.412


  25 in total

1.  A prospective study comparing the outcome of oocytes retrieved in the aspirate with those retrieved in the flush during transvaginal ultrasound directed oocyte recovery for in-vitro fertilization.

Authors:  E el Hussein; A H Balen; S L Tan
Journal:  Br J Obstet Gynaecol       Date:  1992-10

2.  In vitro fertilization-intracytoplasmic sperm injection outcomes in single- versus double-lumen oocyte retrieval needles in normally responding patients: a randomized trial.

Authors:  Bulent Haydardedeoglu; Tayfun Cok; Esra Bulgan Kilicdag; Ayse Huriye Parlakgumus; Erhan Simsek; Tayfun Bagis
Journal:  Fertil Steril       Date:  2011-02       Impact factor: 7.329

3.  Perioperative and post-operative complications of transvaginal ultrasound-guided oocyte retrieval: prospective study of >1000 oocyte retrievals.

Authors:  A K Ludwig; M Glawatz; G Griesinger; K Diedrich; M Ludwig
Journal:  Hum Reprod       Date:  2006-07-27       Impact factor: 6.918

4.  A prospective randomized comparison of single- and double-lumen needles for transvaginal follicular aspiration.

Authors:  R T Scott; G E Hofmann; S J Muasher; A A Acosta; D K Kreiner; Z Rosenwaks
Journal:  J In Vitro Fert Embryo Transf       Date:  1989-04

5.  Is there a benefit from routine follicular flushing for oocyte retrieval?

Authors:  S Bagtharia; A R K Haloob
Journal:  J Obstet Gynaecol       Date:  2005-05       Impact factor: 1.246

6.  Natural cycles for in-vitro fertilization: cost-effectiveness analysis and factors influencing outcome.

Authors:  S Daya; J Gunby; E G Hughes; J A Collins; M A Sagle; E V YoungLai
Journal:  Hum Reprod       Date:  1995-07       Impact factor: 6.918

7.  A prospective randomized study comparing aspiration only with aspiration and flushing for transvaginal ultrasound-directed oocyte recovery.

Authors:  S L Tan; J Waterstone; M Wren; J Parsons
Journal:  Fertil Steril       Date:  1992-08       Impact factor: 7.329

8.  Prospective randomized trial of the effect of two flushing media on oocyte collection and fertilization rates after in vitro fertilization.

Authors:  M M Biljan; N Dean; R Hemmings; F Bissonnette; S L Tan
Journal:  Fertil Steril       Date:  1997-12       Impact factor: 7.329

9.  Outcome of in-vitro fertilization through natural cycles in poor responders.

Authors:  S Bassil; P A Godin; J Donnez
Journal:  Hum Reprod       Date:  1999-05       Impact factor: 6.918

10.  A prospective study to investigate the value of flushing follicles during transvaginal ultrasound-directed follicle aspiration.

Authors:  J J Waterstone; J H Parsons
Journal:  Fertil Steril       Date:  1992-01       Impact factor: 7.329

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  8 in total

1.  Effect of follicular flushing on reproductive outcomes in patients with poor ovarian response undergoing assisted reproductive technology.

Authors:  Anna L M Souza; Marcos Sampaio; Graciele B Noronha; Ludiana G R Coster; Roberta S G de Oliveira; Selmo Geber
Journal:  J Assist Reprod Genet       Date:  2017-07-21       Impact factor: 3.412

Review 2.  Approaches to oocyte retrieval for advanced reproductive technology cycles planning to utilize in vitro maturation: a review of the many choices to be made.

Authors:  B I Rose
Journal:  J Assist Reprod Genet       Date:  2014-09-12       Impact factor: 3.412

3.  Evaluation of follicular flushing with double lumen needle in patients undergoing assisted reproductive technology treatments.

Authors:  Marcelo Marinho de Souza; Ana Cristina Allemand Mancebo; Maria do Carmo Borges de Souza; Roberto de Azevedo Antunes; Ana Luiza Barbeitas; Verônica de Almeida Raupp; Layna Almeida Barbosa da Silva; Flávia Siqueira; Ana Luisa Bruno Marinho de Souza
Journal:  JBRA Assist Reprod       Date:  2021-04-27

Review 4.  Follicular flushing during oocyte retrieval in assisted reproductive techniques.

Authors:  Ektoras X Georgiou; Pedro Melo; Julie Brown; Ingrid E Granne
Journal:  Cochrane Database Syst Rev       Date:  2018-04-26

5.  Oocyte retrieval at 140-mmHg negative aspiration pressure: A promising alternative to flushing and aspiration in assisted reproduction in women with low ovarian reserve.

Authors:  Aswathy Kumaran; Pratap Kumar Narayan; Praveena Joglekar Pai; Amar Ramachandran; Basil Mathews; Satish Kumar Adiga
Journal:  J Hum Reprod Sci       Date:  2015 Apr-Jun

6.  Follicular flushing increases the number of oocytes retrieved in poor ovarian responders undergoing in vitro fertilization: a retrospective cohort study.

Authors:  Yu Xiao; Yong Wang; Min Wang; Kai Liu
Journal:  BMC Womens Health       Date:  2018-11-16       Impact factor: 2.809

7.  Follicular flushing leads to higher oocyte yield in monofollicular IVF: a randomized controlled trial.

Authors:  A S Kohl Schwartz; I Calzaferri; M Roumet; A Limacher; A Fink; A Wueest; S Weidlinger; V R Mitter; B Leeners; M Von Wolff
Journal:  Hum Reprod       Date:  2020-10-01       Impact factor: 6.918

8.  Causes and Effects of Oocyte Retrieval Difficulties: A Retrospective Study of 10,624 Cycles.

Authors:  Yang Wang; Meixiang Zhang; Hao Shi; Shiqi Yi; Qian Li; Yingchun Su; Yihong Guo; Linli Hu; Jing Sun; Ying-Pu Sun
Journal:  Front Endocrinol (Lausanne)       Date:  2022-01-03       Impact factor: 5.555

  8 in total

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