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Hysteroscopic Placement of Platinum Microinsert in Patients With Hydrosalpinx Before In Vitro Fertilization and Embryo Transfer.
J Minim Invasive Gynecol. 2019 Sep - Oct; 26(6):1157-1163.JM

Abstract

OBJECTIVE

To investigate the effectiveness of Tornado and Hilal (Cook Medical, Bloomington, IN) hysteroscopic proximal tubal occlusion (HPTO) for hydrosalpinx (HX) treatment before in vitro fertilization (IVF) and embryo transfer (ET) in patients with dense pelvic adhesions or low ovarian reserve.

DESIGN

A retrospective study of patients treated between May 2014 and May 2016 (Canadian Task Force classification III).

SETTING

A university-affiliated center.

PATIENTS

One hundred fifty women with unilateral or bilateral HX who were not candidates for laparoscopic surgery.

INTERVENTION

Tornado or Hilal HPTO before IVF-ET and/or frozen ET.

MEASUREMENTS AND MAIN RESULTS

The main outcome was the cumulative live birth rate. Tornado or Hilal placement was successful for 143 (95.3%) patients. Of the 132 patients who underwent 204 ET cycles, 86 (65.2%) conceived, and 78 (59.1%) resulted in live births. The overall early and late miscarriage rates per clinical pregnancy were 12.8% and 1.1%, respectively. The ectopic pregnancy rate was 2.3%. No major complications occurred.

CONCLUSION

Tornado or Hilal HPTO is an effective alternative for treating HX before IVF-ET/frozen ET in patients with dense pelvic adhesions or low ovarian reserve.

Authors+Show Affiliations

Reproductive and Genetic Hospital of CITIC-XIANGYA, Changsha, China (Drs. Chen, Lin, Lu, and Gong).Institute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha, China (Drs. Jiang, Lin, and Gong).Reproductive and Genetic Hospital of CITIC-XIANGYA, Changsha, China (Drs. Chen, Lin, Lu, and Gong); Institute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha, China (Drs. Jiang, Lin, and Gong); Key Laboratory of Reproductive and Stem Cell Engineering, Ministry of Health, Changsha, China (Drs. Lin, Lu, and Gong).Reproductive and Genetic Hospital of CITIC-XIANGYA, Changsha, China (Drs. Chen, Lin, Lu, and Gong); Key Laboratory of Reproductive and Stem Cell Engineering, Ministry of Health, Changsha, China (Drs. Lin, Lu, and Gong).Reproductive and Genetic Hospital of CITIC-XIANGYA, Changsha, China (Drs. Chen, Lin, Lu, and Gong); Institute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha, China (Drs. Jiang, Lin, and Gong); Key Laboratory of Reproductive and Stem Cell Engineering, Ministry of Health, Changsha, China (Drs. Lin, Lu, and Gong). Electronic address: feigongzxxy@163.com.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30508652

Citation

Chen, Hui, et al. "Hysteroscopic Placement of Platinum Microinsert in Patients With Hydrosalpinx Before in Vitro Fertilization and Embryo Transfer." Journal of Minimally Invasive Gynecology, vol. 26, no. 6, 2019, pp. 1157-1163.
Chen H, Jiang W, Lin G, et al. Hysteroscopic Placement of Platinum Microinsert in Patients With Hydrosalpinx Before In Vitro Fertilization and Embryo Transfer. J Minim Invasive Gynecol. 2019;26(6):1157-1163.
Chen, H., Jiang, W., Lin, G., Lu, G., & Gong, F. (2019). Hysteroscopic Placement of Platinum Microinsert in Patients With Hydrosalpinx Before In Vitro Fertilization and Embryo Transfer. Journal of Minimally Invasive Gynecology, 26(6), 1157-1163. https://doi.org/10.1016/j.jmig.2018.08.033
Chen H, et al. Hysteroscopic Placement of Platinum Microinsert in Patients With Hydrosalpinx Before in Vitro Fertilization and Embryo Transfer. J Minim Invasive Gynecol. 2019 Sep - Oct;26(6):1157-1163. PubMed PMID: 30508652.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hysteroscopic Placement of Platinum Microinsert in Patients With Hydrosalpinx Before In Vitro Fertilization and Embryo Transfer. AU - Chen,Hui, AU - Jiang,Wanjun, AU - Lin,Ge, AU - Lu,Guangxiu, AU - Gong,Fei, Y1 - 2018/11/30/ PY - 2018/06/01/received PY - 2018/08/16/revised PY - 2018/08/20/accepted PY - 2018/12/7/pubmed PY - 2020/5/21/medline PY - 2018/12/4/entrez KW - Assisted reproductive technology KW - Tornado and Hilal microinsert KW - Tubal occlusion SP - 1157 EP - 1163 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 26 IS - 6 N2 - OBJECTIVE: To investigate the effectiveness of Tornado and Hilal (Cook Medical, Bloomington, IN) hysteroscopic proximal tubal occlusion (HPTO) for hydrosalpinx (HX) treatment before in vitro fertilization (IVF) and embryo transfer (ET) in patients with dense pelvic adhesions or low ovarian reserve. DESIGN: A retrospective study of patients treated between May 2014 and May 2016 (Canadian Task Force classification III). SETTING: A university-affiliated center. PATIENTS: One hundred fifty women with unilateral or bilateral HX who were not candidates for laparoscopic surgery. INTERVENTION: Tornado or Hilal HPTO before IVF-ET and/or frozen ET. MEASUREMENTS AND MAIN RESULTS: The main outcome was the cumulative live birth rate. Tornado or Hilal placement was successful for 143 (95.3%) patients. Of the 132 patients who underwent 204 ET cycles, 86 (65.2%) conceived, and 78 (59.1%) resulted in live births. The overall early and late miscarriage rates per clinical pregnancy were 12.8% and 1.1%, respectively. The ectopic pregnancy rate was 2.3%. No major complications occurred. CONCLUSION: Tornado or Hilal HPTO is an effective alternative for treating HX before IVF-ET/frozen ET in patients with dense pelvic adhesions or low ovarian reserve. SN - 1553-4669 UR - https://www.unboundmedicine.com/medline/citation/30508652/Hysteroscopic_Placement_of_Platinum_Microinsert_in_Patients_With_Hydrosalpinx_Before_In_Vitro_Fertilization_and_Embryo_Transfer_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1553-4650(18)31366-9 DB - PRIME DP - Unbound Medicine ER -