Explain: Gamete Intrafallopian Transfer

Content:

Type of Operation:

Clinical Information:

The year-old female patient is case of {{primary, secondary}}infertility. Female factor is {{tubal, ovulatory, uterine, multiple, unexplained}} and male factor is {{normal, oligospermia, asthenospermia, teratospermia, oligoasthenospermia, anti-sperm Ab, asoospermia,}}. She has been treated by hyperovulation induction with {{HMG, u-FSH, Follegon, Puregon, Gonal-F, Clomiphene, Others}} U and {{HMG, u-FSH, Follegon, Puregon, Gonal-F, Clomiphene, Others}} U after pituirary suppression by {{nil, GnRH-agonist, GnRH-Agonist, Other}}. HCG was administered {{5,000, 10,000}}U after at least 2 leading follicles larger than 16mm.

Lab Data:

D3 E2: U/L, FSH: U/L, LH: U/L, Inhibin B:

HCG Day E2: U/L, Inhibin B:

Operative procedures:

The patient was placed in the lithotomy position. Viginal douching and perineal preparation were done with flush medium. Catheterization of the bladder was performed using a Foley catheter.

An intravaginal probe with a sona-guide ovum aspiration needle was prepared for oocyte retrieval.

The following oocytes were retrieved from both ovaries using an the ovum aspiration needle .

Remove the probe and check bleeding. An infraumbilical transverse incision (approximately 1 cm in diameter) was made for the 1st puncture. The peritoneal cavity was examined first after the laparoscope was introduced. A suprapubic small incision (approximately 0.5 cm in diameter) was made for the 2nd puncture. After the residual blood in the peritoneal cavity was sucked out, an atraumatic grasping forceps was introduced via the 2nd puncture and the fimbriae of the tube was grasped and fixed at upright position. A 3rd puncture at midpoint between the 1 st and the 2nd puncture was made and a GIFT catheter was introduced into the peritoneal cavity.

Gamete intrafallopian transfer was performed:

After the transfers, the tube was fixed at upright position for 3 minutes and then released carefully.

Check bleeding.

Deflate the abdominal cavity and remove the laparoscope

Approximate the skin incision with 3‑0 vicryl, interruptedly.

Right:___________ oocytes, Left:____________oocytes, Total:____________oocytes.

Right tube:_________oocytes and post-washed sperm were transferred. _____ cm in depth.

Left tube:__________ oocytes and post-washed sperm were transferred. _____ cm in depth.