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Successful Same-Cycle Blastocyst Transfer following Laparoscopic Ovarian Detorsion: A Report of Two Cases and Literature Review

机译:腹腔镜卵巢扭转后成功的同周期囊胚转移:两例报告并文献复习

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Ovarian stimulation increases the risk of ovarian torsion. During an in vitro fertilization (IVF) cycle, the effects of ovarian torsion on retrieved oocytes and subsequent pregnancy chances are not clear. Moreover, no cases of ovarian torsion occurring following oocyte retrieval but prior to same-cycle embryo transfer have been reported. Such cases present a clinical dilemma with respect to optimal timing of embryo transfer. We report two cases of a 41-year-old and a 32-year-old infertility patients undergoing IVF who were diagnosed with ovarian torsion within several days following oocyte retrieval. Both patients were treated by early laparoscopic evaluation and detorsion followed by day five embryo transfer, resulting in successful pregnancies. Therefore, after prompt laparoscopic ovarian untwisting of a torsed ovary following egg retrieval, embryo transfer may be performed as originally scheduled during the concurrent cycle leading to favorable pregnancy outcomes.
机译:卵巢刺激会增加卵巢扭转的风险。在体外受精(IVF)周期中,卵巢扭转对回收卵母细胞和随后怀孕机会的影响尚不清楚。而且,没有报道卵母细胞取出后但在同周期胚胎移植之前发生卵巢扭转的情况。此类情况在胚胎移植的最佳时机方面存在临床难题。我们报告了两例分别为卵母细胞取出后几天内被诊断为卵巢扭转的行IVF的41岁和32岁不育患者。两名患者均接受了早期腹腔镜评估和扭曲治疗,随后是第5天胚胎移植,从而成功怀孕。因此,在取卵后迅速将腹腔镜卵巢扭转的卵巢解开后,可在并发周期中按原定计划进行胚胎移植,从而导致良好的妊娠结局。

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