ADnantoienli oJ. MMaollvluasrai MDoamttehneiwco P B. Lauldnignri en MEdiicthoarse l R.B. Evans Editors Clinical Medicine Pick Up and Oocyte Covertemplate Management Subtitle for Clinical Medicine Covers T3_HB Second Edition 1 32 123 Pick Up and Oocyte Management Antonio Malvasi • Domenico Baldini Editors Pick Up and Oocyte Management Editors Antonio Malvasi Domenico Baldini Department of Obstetrics and Gynecology Center of Medically Assisted Procreation Santa Maria Hospital MOMO’ fertiLIFE Srl GVM Care and Research Bisceglie Bari Italy Italy Laboratory of Human Physiology Phystech BioMed School Faculty of Biological and Medical Physics Moscow Institute of Physics and Technology (State University) Dolgoprudny Moscow Region Russia Santa Maria della Misericordia University Hospital Perugia Italy ISBN 978-3-030-28740-5 ISBN 978-3-030-28741-2 (eBook) https://doi.org/10.1007/978-3-030-28741-2 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland I dedicated this book to my beloved mother and father for their sacrifices and love towards me. I also devote my work to my brother who has always been close to me, even in difficult moments. To my hometown which give me its Roman-Greek ancient culture. Antonio Malvasi To my family, to my wife Derna, to my son Giorgio and to my son Marco who looks at me from up there; To my parents and to those who have contributed to my professional growth. Domenico Baldini Acknowledgments The authors sincerely thank Antoni Dell’Aquila for the realization of some wonderful images for this book. These pictures are the result of the long collaboration between Prof. Antonio Malvasi and Antonio Dell’Acquila into the medical graphics academy, founded by them. vii Contents 1 A Short History of Oocyte Pick-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Ettore Cittadini and Giorgio Maria Baldini 2 Anatomy and Physiology of Ovarian Follicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Marija Dundović, Lada Zibar, and Mariaelena Malvasi 3 Normal Ultrasound Female Pelvic Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Vincenzo D’Addario, Asim Kurjak, and Biserka Funduk-Kurjak 4 Ultrasound and Probe Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Edoardo Di Naro, Luigi Raio, Annachiara Basso, and Mariana Rita Catalano 5 Oocytes Retrieval Theater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Domenico Baldini, Domenico Carone, Antonino Guglielmino, and Sandro Gerli 6 Hysteroscopy Before Oocytes Retrieval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Giuseppe Trojano, Vita Caroli Casavola, Antonio Malvasi, Sergio Haimovich, Alessandro Favilli, and Ettore Cicinelli 7 Anesthesia and Analgesia for Women Undergoing Oocyte Retrieval . . . . . . . . . . 99 Renata Beck, Agostino Brizzi, Gilda Cinnella, Pasquale Raimondo, and Krzysztof M. Kuczkowski 8 Monitoring Follicular Growth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 Maria Elisabetta Coccia, Francesca Rizzello, and Eleonora Ralli 9 Triggering Final Follicular Maturation for IVF Cycles . . . . . . . . . . . . . . . . . . . . .141 Raoul Orvieto 10 Oocyte Retrieval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 Domenico Baldini, Cristina Lavopa, Maria Matteo, and Antonio Malvasi 11 Oocyte Retrieval in Double Stimulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Qiuju Chen and Yanping Kuang 12 Oocyte Retrieval in IVM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Mario Mignini Renzini, Claudio Brigante, Mara Zanirato, Maria Beatrice Dal Canto, Fausta Brambillasca, and Rubens Fadini 13 Oocyte Retrieval in Egg Donation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209 Antonio Pellicer and Victor Hugo Gomez 14 Oocytes Retrieval in Metabolic Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Daniele De Viti, Assunta Stragapede, Elena Pacella, and Domenico Baldini 15 Oocyte Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243 Pierre Boyer, Patricia Rodrigues, Marie Boyer, and Giovanni Vizziello ix x Contents 16 Relevance of Oocyte Morphology on ICSI Outcomes . . . . . . . . . . . . . . . . . . . . . . .253 Claire O’Neill, Stephanie Cheung, Alessandra Parrella, Derek Keating, Philip Xie, Zev Rosenwaks, and Gianpiero D. Palermo 17 Endometriosis, Infertility, and Oocyte Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . .265 Andrea Tinelli, Ceana H. Nezhat, Farr R. Nezhat, Ospan A. Mynbaev, Radmila Sparic, Ioannis P. Kosmas, Renata Beck, and Antonio Malvasi 18 The Adhesion of the Blastocyst: A Question of Bonds . . . . . . . . . . . . . . . . . . . . . . .291 Leonardo Resta, Roberta Rossi, and Graziana Arborea 19 Complications in Oocyte Retrieval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .305 Michail Pargianas, Styliani Salta, Stelis Fiorentzis, Lamprini G. Kalampoki, Renata Beck, Damiano Vizziello, and Ioannis Kosmas 20 Oocytes Freezing in Patient with Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .339 Fabrizio Signore, Raffaella Votino, Evangelos Sakkas, Domenico Baldini, Simona Zaami, and Antonio Malvasi 21 Eggs Retrieval. Adverse Events, Complications, and Malpractice: A Medicolegal Perspective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .347 Simona Zaami, Michael Stark, Antonio Malvasi, and Enrico Marinelli 22 Medically Assisted Procreation: European Legislation and Ensuing Ethical Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .361 Gianluca Montanari Vergallo, Simona Zaami, Tom Schneider, and Radmila Sparic A Short History of Oocyte Pick-up 1 Ettore Cittadini and Giorgio Maria Baldini Contents 1.1 Puncturing Needles 13 1.2 Puncturing Procedure 13 1.3 The Present Transvaginal Technique 16 1.4 Flushing 16 1.5 Oocyte Pick-up Complications 17 1.5.1 Haemorrhage 17 1.5.2 Pelvic Infections 17 1.5.3 Traumatic Lesions of Internal Organs 17 1.5.4 Technical Aspects and Practical Suggestions 18 References 18 Before talking about the history of ovarian pick-up, it is He noted the disposition of the Fallopian tubes but failed important to have a look at the history of the medicine, espe- to clarify their specific function [3]. cially to take into account the part concerning female repro- Instead, he considered their relationship with the ovaries ductive system anatomy. The anatomical and physiological was analogous to that of the male ducts with the testes, so he description of the ovary, the most important reproductive illustrated the ducts as coiled round the “female testes.” organ, takes place in a recent historical period with respect to In 1721, an Italian scientist, Antonio Vallisneri (1661– other human organs. Before the fourteenth century, the ovary 1730), with this expressive description: “Young peasant was considered as a female testis and the uterus as an empty woman, married, moderately plump, infertile, with ovaries penis. larger than normal, like doves’ eggs, lumpy, shiny and whit- In 1543, Andreas Vesalius (Fig. 1.1) published De Humani ish,” (Fig. 1.2) described for the first time the clinical and Corporis Fabrica; with its extensive account of the anatomy pathological features of the “polycystic” or “micropolycys- of the generative organs, he carefully and systematically tic” ovary [4]. introduced the structure of the human body in a way that was He was a student of Marcello Malpighi (1628–1694), one truthful to the findings of human dissection that had never of the first ovary researcher. Malpighi had made his first been accomplished before [1, 2]. known drawing of a monkey ovary in 1666 and had noted the Graafian follicles. He had reasoned that the actual egg is within the ovary. In contrast to the Graaf’s theories that the follicle was the egg, E. Cittadini (*) Faculty of Medicine, Department of Obstetrics and Gynecology, Malpighi proposed in 1681 that the egg was derived from the University of Palermo, Palermo, Italy luteal tissue present in a mature mammalian ovary [5, 6] e-mail: [email protected] (Fig. 1.3). G. M. Baldini Center of Medically Assisted Procreation, MOMO’ fertiLIFE, Bisceglie, Italy © Springer Nature Switzerland AG 2020 1 A. Malvasi, D. Baldini (eds.), Pick Up and Oocyte Management, https://doi.org/10.1007/978-3-030-28741-2_1 2 E. Cittadini and G. M. Baldini Fig. 1.1 In 1543, Andreas Vesalius published De Humani Corporis Fig. 1.3 Marcello Malpighi (1628–1694), italian medical. He performed studies on ovary pathology Gabriele Fallopio (1523–1562) (Fig. 1.4), one of the greatest anatomists of the sixteenth century, had noticed the follicles previously but he didn’t recognize its reproductive significance [7]. Moreover, he was able to prove that the Fallopian tube is a unique organ that connects the uterine horn to the ovary [8] (Fig. 1.5). It is noticeable to underline that the only approach in vivo to understand the female reproductive system was the man- ual abdominal examination [9, 10]. In fact, the most funda- mental diagnostic instrument in the past was the hand. Trotula de’ Ruggiero of the famous school of Salerno was the first female physician in the history of medicine and the first female professor of medicine [11]. She was one of the first physicians to describe a number of obstetri- cal and gynaecological conditions and also wrote on male infertility. De passionibus mulierum was probably her most famous work, and she was included in the “famous quartet of Salerno” in the eleventh century by several medical histori- ans [12] (Fig. 1.6). Trotula’s chapter on the causes of infertility is noteworthy as she recognizes both female and Fig. 1.2 Antonio Vallisneri (1661–1730), an Italian medical scientist, male infertility. studied and described in 1721 the ovary with PCOS