Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of grouping
Objective: To evaluate the effectiveness of oocyte retrieval using a single-lumen aspiration needle compared to a double-lumen aspiration needle in IVF (in vitro fertilization) patients. Materials and methods: This retrospective cohort study included all IVF cycles between 1st January, 2020 and 31st...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924002845 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841553931005591552 |
|---|---|
| author | Tian-Jeau Huang Hsiao-Chin Huang Horng-Der Tsai Chew-Teng Kor Chueh-Ko Yang Hsin-Hung Wu |
| author_facet | Tian-Jeau Huang Hsiao-Chin Huang Horng-Der Tsai Chew-Teng Kor Chueh-Ko Yang Hsin-Hung Wu |
| author_sort | Tian-Jeau Huang |
| collection | DOAJ |
| description | Objective: To evaluate the effectiveness of oocyte retrieval using a single-lumen aspiration needle compared to a double-lumen aspiration needle in IVF (in vitro fertilization) patients. Materials and methods: This retrospective cohort study included all IVF cycles between 1st January, 2020 and 31st December, 2022 in Changhua Christian Hospital, Taiwan. Pairwise comparisons were conducted through propensity score matching analysis at a 1:3 ratio according to patients’ age, anti-Müllerian hormone levels, and body weight. The cycles were divided into two groups: the single-lumen needle group, who utilized a single-lumen 18-gauge needle and the double-lumen needle group, who underwent follicular aspiration and flushing using a double-lumen 17-gauge needle. Outcomes included oocytes retrieved, matured oocytes (MII), normal zygotes (2-PN), viable embryos, procedure duration and pregnancy rate. Results: A total of 2211 oocyte retrieval procedures were recorded. After propensity score matching, 912 IVF cycles were included for the analysis, comprising 228 and 684 cycles in the single-lumen and double-lumen needle groups, respectively. The single-lumen needle group had more oocytes retrieved (12.84 vs. 11.56, P < 0.05) and normal zygotes (7.79 vs. 6.98, P < 0.05) than the double-lumen needle group. The median procedure duration was also shorter in the single-lumen needle group (14.23 vs. 17.68 min, P < 0.05). Conclusions: Oocyte retrieval using a single-lumen aspiration needle not only reduced the procedure duration but also increased the number of oocytes retrieved and the number of normal zygotes (2-PN). Therefore, the single-lumen aspiration needle exhibits higher efficiency in oocyte retrieval and is more affordable than the double-lumen aspiration needle. |
| format | Article |
| id | doaj-art-ee7fc94ce6444241904e0c660e4a9d46 |
| institution | Kabale University |
| issn | 1028-4559 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj-art-ee7fc94ce6444241904e0c660e4a9d462025-01-09T06:12:51ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-01641105109Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of groupingTian-Jeau Huang0Hsiao-Chin Huang1Horng-Der Tsai2Chew-Teng Kor3Chueh-Ko Yang4Hsin-Hung Wu5Reproductive Medicine Center, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, TaiwanReproductive Medicine Center, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, TaiwanReproductive Medicine Center, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, TaiwanBig Data Center, Changhua Christian Hospital, Changhua, TaiwanWomen's Health Research Laboratory, Department of Medical Research, Changhua Christian Hospital, Changhua, TaiwanReproductive Medicine Center, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, Changhua Christian Hospital, 135 Nanhsiao Street, Changhua City 50006, Taiwan.Objective: To evaluate the effectiveness of oocyte retrieval using a single-lumen aspiration needle compared to a double-lumen aspiration needle in IVF (in vitro fertilization) patients. Materials and methods: This retrospective cohort study included all IVF cycles between 1st January, 2020 and 31st December, 2022 in Changhua Christian Hospital, Taiwan. Pairwise comparisons were conducted through propensity score matching analysis at a 1:3 ratio according to patients’ age, anti-Müllerian hormone levels, and body weight. The cycles were divided into two groups: the single-lumen needle group, who utilized a single-lumen 18-gauge needle and the double-lumen needle group, who underwent follicular aspiration and flushing using a double-lumen 17-gauge needle. Outcomes included oocytes retrieved, matured oocytes (MII), normal zygotes (2-PN), viable embryos, procedure duration and pregnancy rate. Results: A total of 2211 oocyte retrieval procedures were recorded. After propensity score matching, 912 IVF cycles were included for the analysis, comprising 228 and 684 cycles in the single-lumen and double-lumen needle groups, respectively. The single-lumen needle group had more oocytes retrieved (12.84 vs. 11.56, P < 0.05) and normal zygotes (7.79 vs. 6.98, P < 0.05) than the double-lumen needle group. The median procedure duration was also shorter in the single-lumen needle group (14.23 vs. 17.68 min, P < 0.05). Conclusions: Oocyte retrieval using a single-lumen aspiration needle not only reduced the procedure duration but also increased the number of oocytes retrieved and the number of normal zygotes (2-PN). Therefore, the single-lumen aspiration needle exhibits higher efficiency in oocyte retrieval and is more affordable than the double-lumen aspiration needle.http://www.sciencedirect.com/science/article/pii/S1028455924002845Single-lumen aspiration needleOocyte retrievalPropensity score matchingIn vitro fertilization |
| spellingShingle | Tian-Jeau Huang Hsiao-Chin Huang Horng-Der Tsai Chew-Teng Kor Chueh-Ko Yang Hsin-Hung Wu Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of grouping Taiwanese Journal of Obstetrics & Gynecology Single-lumen aspiration needle Oocyte retrieval Propensity score matching In vitro fertilization |
| title | Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of grouping |
| title_full | Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of grouping |
| title_fullStr | Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of grouping |
| title_full_unstemmed | Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of grouping |
| title_short | Introduction of the single-lumen oocyte retrieval needle in an assisted reproductive technology center: Propensity score matching analysis of grouping |
| title_sort | introduction of the single lumen oocyte retrieval needle in an assisted reproductive technology center propensity score matching analysis of grouping |
| topic | Single-lumen aspiration needle Oocyte retrieval Propensity score matching In vitro fertilization |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924002845 |
| work_keys_str_mv | AT tianjeauhuang introductionofthesinglelumenoocyteretrievalneedleinanassistedreproductivetechnologycenterpropensityscorematchinganalysisofgrouping AT hsiaochinhuang introductionofthesinglelumenoocyteretrievalneedleinanassistedreproductivetechnologycenterpropensityscorematchinganalysisofgrouping AT horngdertsai introductionofthesinglelumenoocyteretrievalneedleinanassistedreproductivetechnologycenterpropensityscorematchinganalysisofgrouping AT chewtengkor introductionofthesinglelumenoocyteretrievalneedleinanassistedreproductivetechnologycenterpropensityscorematchinganalysisofgrouping AT chuehkoyang introductionofthesinglelumenoocyteretrievalneedleinanassistedreproductivetechnologycenterpropensityscorematchinganalysisofgrouping AT hsinhungwu introductionofthesinglelumenoocyteretrievalneedleinanassistedreproductivetechnologycenterpropensityscorematchinganalysisofgrouping |