Evaluation of Tubal Factors

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Conference Name: Live Operative Workshops by Med-Cubator

Conducted by: Med-Cubator Innovations with MERITCE

Surgeon(s)/Speaker(s): Dr. Neelam Bhise

Surgical Procedure: Gynecology-IVF- Ovum Pick Up (OPU)

Location: ACME Hospital, Chembur, Mumbai.

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Indexsteps

1. Size of follicles for egg retrieval : When the follicles are mature (determined by ultrasound measurements of follicle size and hormone measurements), the egg aspiration procedure is done to take the eggs out.:new:About 15 to 20 mm diameter is generally considered a “mature” follicle.

2. Anaesthesia for egg retrieval : The anaesthesia medication is given through the IV. :new:Conscious sedation, general anaesthesia and even local anaesthesia can be used for this procedure.

3. Egg retrieval procedure : A needle is passed through the top of the vagina under ultrasound guidance to get to the ovary and follicles. :new:The fluid in the follicles is aspirated through the needle and the eggs detach from the follicle wall and are sucked out of the ovary. :new:The oocyte-cumulus complex is pulled from the follicle wall when the fluid is aspirated through the needle.

4. The fluid with the eggs is passed to the IVF lab where the eggs are identified, rinsed in culture media, and placed in small drops in plastic culture dishes :

5. The dishes with the eggs are then kept in specialized IVF incubators under carefully controlled environmental conditions. :

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pre_post_measures

1. Preoperative measures : The patient must be advised not to eat anything for at least 6 hours and not to drink anything for at least 4 hours before the procedure. :new:Just before the procedure, the patient should be asked to empty her bladder. :new:The procedure should be done under general or local intravenous anaesthesia.

2. Postoperative measures : After the procedure, the patient should be monitored closely for about an hour- after which she can be discharged home. :new:Oral pain medications after discharge may be advised.