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Transvaginal Drainage of Ascites as an Alternative to Abdominal Paracentesis in Patients with Severe Ovarian Hyperstimulation Syndrome, Obesity, and Generalized.

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Presentation on theme: "Transvaginal Drainage of Ascites as an Alternative to Abdominal Paracentesis in Patients with Severe Ovarian Hyperstimulation Syndrome, Obesity, and Generalized."— Presentation transcript:

1 Transvaginal Drainage of Ascites as an Alternative to Abdominal Paracentesis in Patients with Severe Ovarian Hyperstimulation Syndrome, Obesity, and Generalized Edema  Arieh Raziel, Shevach Friedler, Morey Schachter, Deborah Strassburger, Ian Bukovsky, Raphael Ron-El  Fertility and Sterility  Volume 69, Issue 4, Pages (April 1998) DOI: /S (98)00003-X

2 Fig. 1 The equipment needed for transvaginal drainage of ascites in a patient with severe OHSS and edematous abdominal wall. (A), a wire guide; (B), a “peel-away” set; (C), an Oosterlinck drainage catheter. Fertility and Sterility  , DOI: ( /S (98)00003-X)

3 Fig. 2 Transvaginal drainage of ascites in a patient with severe OHSS, obesity, and extreme edematous abdominal wall. (A), Insertion of a wire guide through a standard IVF needle guided by ultrasonography into the Douglas pouch. (B), Threaded “peel-away” set on the wire guide inserted through the vaginal vault into the Douglas pouch. (C), Placement of a pigtail catheter instead of the internal needle of the peel-away set. (D), Removal of the external sleeve of the peel-away set and fixation of the catheter. Fertility and Sterility  , DOI: ( /S (98)00003-X)


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