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Publications (10)6.65 Total impact

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    ABSTRACT: To compare the performance of the SureView catheter, a new ultrasonic embryo transfer (ET), with the classic Wallace catheter during ultrasound-guided ET. Prospective, randomized study. Private, academically affiliated clinic. 175 patients undergoing donor egg in vitro fertilization with ET (IVF-ET). Ultrasound-guided ET by a single physician with a standardized technique randomly using one of the two catheters. Implantation rate, pregnancy rate, ease of transfer, and visualization of catheter. The echo-dense tip and the entire length of the SureView catheter were consistently seen with ultrasound guidance. Visualization was statistically significantly better, but there was no statistically significant difference with regard to the ease of transfer. Comparing the SureView with the classic Wallace catheters, the implantation rate (27.76% vs. 23.56%, respectively) and clinical pregnancy rate (41.02% vs. 43.29%, respectively) were similar in both groups. However, the physician using the SureView catheter noted a remarkably superior ease of transfer. The SureView catheter with its ultrasonic contrast properties simplifies ultrasound-guided ET, but pregnancy rates are similar to those obtained when a classic Wallace catheter is used.
    Fertility and sterility 04/2009; 93(2):344-50. · 3.97 Impact Factor
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    ABSTRACT: Transient motion of embryo transfer-associated antibubbles was observed. This prospective study was performed to determine if this antibubble movement can predict a successful outcome. Transabdominal ultrasound-guided embryo transfers were performed in 187 recipients receiving identical hormone replacement therapy. All embryo transfers were performed by the first author, using the Sureview embryo transfer catheter, in 30 mul of culture media. Observation was made of the catheter placement in relation to the endometrial surface and uterine fundus during embryo transfer. Ultrasound-guided tracking of antibubble within the uterine cavity was done immediately after the piston was depressed at the time of embryo deposition. The antibubble movement was upwards (group A) in 104 embryo transfers and downwards (group B) in 83 transfers. No movement of embryo-associated air out of the uterine cavity, either into the cervix or the intramural portion of the Fallopian tube, was observed. The clinical pregnancy rate was similar in both groups: 47.12% in group A versus 45.78% in group B. The total implantation rate/embryo transferred was 19.34% in group A compared with 20.07% in group B. The movement of the embryo transfer-associated antibubble is unlikely to be a factor in predicting success in donor egg IVF cycles.
    Reproductive biomedicine online 07/2008; 16(6):881-5. · 2.68 Impact Factor
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    Sulbha Arora, Gautam N Allahbadia
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    ABSTRACT: Minimally Invasive Surgery is the most important revolution in surgical technique since the early 1900s. Its development was facilitated by the introduction of miniaturized video cameras with good image reproduction. The marvels of electronic and information technology have strengthened the biochemical and molecular power of diagnosis and the surgical and medical management of gynecology, transforming the very practice of medical science into a reality that could barely be envisaged two decades ago. We now enter the age of Robotics, Telesurgery, and Therapeutic Cloning. This dynamic process of reform continues to deliver practitioners with information, ideas and tools that spell answers to some of the most pressing dilemmas in clinical management. New technology will provide us with better opportunities of vision of the operative field, such as 3-D Endoscopy. Other promising technologies such as incorporation of ultrasonography, magnetic resonance imaging, laser-based technology or assisted optical coherence tomography will not only enhance better visualization of the surgical field, but also discriminate the pathologic tissue from the normal one, enabling the surgeon to excise the pathologic tissue accurately. Pain mapping and photodiagnosis offer a new direction in the diagnosis of microscopic endometriosis. Better detection of the disease results in higher chances of success following treatment.
    International journal of health sciences. 01/2007; 1(1):81-8.
  • Article: P-317
    Fertility and Sterility - FERT STERIL. 01/2006; 86(3).
  • Article: P-321
    Fertility and Sterility - FERT STERIL. 01/2006; 86(3).
  • Article: P-315
    Fertility and Sterility - FERT STERIL. 01/2006; 86(3).
  • Article: P-879
    Fertility and Sterility - FERT STERIL. 01/2006; 86(3).
  • Article: P-322
    Fertility and Sterility - FERT STERIL. 01/2006; 86(3).
  • Fertility and Sterility - FERT STERIL. 01/2005; 84.
  • Fertility and Sterility - FERT STERIL. 01/2005; 84.