A comparison of intravenous general anesthesia and paracervical block for in vitro fertilization: Effects on oocytes using the transvaginal technique [İnvitro fertilizasyonda intravenöz genel anestezinin transvaginal ponksiyonla ali{dotless}nan oositler üzerine etkilerinin paraservikal lokal anestezik blokla karşi{dotless}laşti{dotless}ri{dotless}lmasi{dotless}]

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dc.contributor.authorBümen S.
dc.contributor.authorGünüşen I.
dc.contributor.authorFirat V.
dc.contributor.authorKaraman S.
dc.contributor.authorAkdogan A.
dc.contributor.authorTavmergen G¨ker E.N.
dc.date.accessioned2019-10-27T08:33:38Z
dc.date.available2019-10-27T08:33:38Z
dc.date.issued2011
dc.departmentEge Üniversitesien_US
dc.description.abstractAim: To compare the effects of 2 different anesthetic techniques used for oocyte retrieval. Comparison was made based on the number of retrieved and fertilized oocytes, metaphase 2 (M2, mature) oocytes, and transferred embryos, as well as fertilization, pregnancy, and live birth rates. Ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization is one of the most common minor surgical procedures. Despite this, it is stressful and painful for the patient; most patients request sedation and/or pain relief. Propofol, which is frequently used for general anesthesia in such procedures, has been suspected to damage oocytes. Materials and methods: Results from 70 patients without premedication were compared in this randomized prospective study. Patients were divided into 2 groups based on treatment. Those in Group G received intravenous general anesthesia with atropine (10 µg kg-1), remifentanil (1 µg kg-1), and propofol (2.5 mg kg-1), while patients in Group P received a paracervical block with 100 mg of prilocaine (2%) and 0.75 mg kg-1 of intramuscular meperidine. Results: Our results revealed no statistically significant difference between the 2 groups in terms of the fertilization rate. The numbers of retrieved and mature oocytes and transferred embryos and the pregnancy rate were greater in the general anesthesia group, although only the number of transferred embryos showed a statistically significant difference (P = 0.045). Conclusion: According to our data, both anesthesia techniques can be used for oocyte retrieval since there were no differences in fertilization, pregnancy, or live birth rates between the 2 groups. © TÜBİTAK.en_US
dc.identifier.doi10.3906/sag-1009-1101
dc.identifier.endpage808en_US
dc.identifier.issn1300-0144
dc.identifier.issn1300-0144en_US
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage801en_US
dc.identifier.urihttps://doi.org/10.3906/sag-1009-1101
dc.identifier.urihttps://hdl.handle.net/11454/26833
dc.identifier.volume41en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFertilization rateen_US
dc.subjectGeneral anesthesiaen_US
dc.subjectOocyteen_US
dc.subjectParacervical blocken_US
dc.subjectPregnancyen_US
dc.titleA comparison of intravenous general anesthesia and paracervical block for in vitro fertilization: Effects on oocytes using the transvaginal technique [İnvitro fertilizasyonda intravenöz genel anestezinin transvaginal ponksiyonla ali{dotless}nan oositler üzerine etkilerinin paraservikal lokal anestezik blokla karşi{dotless}laşti{dotless}ri{dotless}lmasi{dotless}]en_US
dc.typeArticleen_US

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