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Federación Mexicana de Ginecología y Obstetricia, A.C.

2015, Number 11

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Ginecol Obstet Mex 2015; 83 (11)

Impact of laser-assisted hatching Aceptado: septiembre 2015 (quarter technique) in poor prognosis patients

González-Ortega C, Cancino-Villarreal P, Anaya-Torres FJ, Pérez-Peña E, Gutiérrez-Gutiérrez AM

Language: Spanish
References: 41
Page: 670-679
PDF size: 393.53 Kb.


ABSTRACT

Background: Poor implantation rates continue to be the determinant factor for results in assisted reproductive techniques; many factors are thought to be involved including embryo quality, endometrial receptivity and embryo transfer. Assisted hatching has been proposed as a technique to improve implantation rates in selected groups of patients, especially with poor prognosis
Objective: To evaluate the impact of the laser assisted hatching performed with quarter technique in patients with poor prognosis.
Material and methods: Prospective, controlled and randomized clinical study. The study group included patients with poor prognosis: maternal age ≥ 38 years, basal FSH ≥ 12.0 mUI/mL, two or more previous FIV/ ICSI failures. The control group don´t received neither assisted reproductive techniques.
Results: We registered 303 cycles: n=154 in study group (laser assisted hatching) and n=149 in control group. Clinical pregnancy (40.1 vs 19.7%) and implantation (17.5 vs 8.3%) rates were significant higher in laser assisted hatching group, there were not significant differences between multiple pregnancy (13.11 vs 10%) and miscarriage (14.7 vs 17.2) rates.
Conclusion: Laser assisted hatching with quarter technique improves pregnancy and implantation rates in poor prognosis patients


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