Exploring the benefit of different methods to perform assisted hatching in the ART laboratory: A narrative review.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_F7A47D3196DE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Exploring the benefit of different methods to perform assisted hatching in the ART laboratory: A narrative review.
Périodique
Reproductive biology
Auteur⸱e⸱s
Sciorio R., Greco P.F., Adel M., Maresca L., Greco E., Fleming S.
ISSN
2300-732X (Electronic)
ISSN-L
1642-431X
Statut éditorial
Publié
Date de publication
09/2024
Peer-reviewed
Oui
Volume
24
Numéro
3
Pages
100923
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
In the last decades, to enhance success rates in assisted reproductive technology (ART) cycles, scientists have continually tried to optimize embryo culture and selection to increase clinical outcomes. In this scenario, the application of laser technology has increased considerably worldwide and is currently applied across ART in several ways: for assisted hatching (AH) or thinning of the zona pellucida (ZP), embryo biopsy, to immobilize and select the sperm during intracytoplasmic sperm injection, as well as to induce artificial blastocyst shrinkage before cryopreservation. Laser-AH has been suggested as a procedure to improve embryo implantation: the concept is that drilling holes through or thinning of the ZP could improve the hatching process and implantation. The artificial disruption of the ZP can be performed by different approaches: mechanically, chemically and with the laser, which is one of the most favourable and easy methods to remove part of the ZP and to augment the possibilities of implantation in patients defined as having a poor prognosis of success, or when the ZP is too thick. However, in the current literature, there is not sufficient evidence about the potential risk or impairment that laser utilization might induce on embryo development; therefore, the main aim of the current review is to provide an overview of the existing knowledge on the ZP and the mechanisms of manipulating it to improve the effectiveness of ART. Also, it emphasizes the positive aspect of laser application as a powerful tool that might increase the chance of pregnancy for infertile couples undergoing ART cycles.
Mots-clé
Humans, Zona Pellucida/physiology, Reproductive Techniques, Assisted, Female, Pregnancy, Cryopreservation/methods, Male, Embryo Culture Techniques/methods, Embryo Implantation/physiology, Lasers, Assisted hatching, Assisted reproductive technology, Infertility, Laser assisted hatching, Zona pellucida, in-vitro fertilization
Pubmed
Web of science
Open Access
Oui
Création de la notice
12/07/2024 11:55
Dernière modification de la notice
10/09/2024 6:31
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