Munevver Serdarogullari @SCobanMune
Senior Embryologist-Weight Lifter @ESHRE5 20' YA #ESHREjc editorial team @ESHRE Nur&Mid Cert Com @ESHRE_IRHEC Social Media @ESHRE Male Repro Health Initiative eshre.eu/Publications/J… CypRus Joined April 2012-
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@AndreaBrackner @GLiperis @OmarRawi89 @SCobanMune @zoyaalii_ @kashish__ @BasselWattar @alteri_ale @debsmtj @AndrewIVFSAS True! But we (as a community) have to decide which protocols should be automated 😅 there might be some patients/embryos that might not benefit from a one-size fits all approach 😖 and might need the hand of skillful embryologists 🤓💪🏼 #ESHREjc
@kashish__ @ESHRE Loading volume during tubing can also make a difference when it comes to amplification failure #ESHREjc
@kashish__ @ESHRE I would also add quality of the cells obtained from the biopsy. Excluded cells from the blastocyst that tend to degenerate might not get a signal. The ‘sight’ of zona opening can make a difference #ESHREjc
@GLiperis 🎯In this paper, it is very detailed #eshrejc academic.oup.com/molehr/article…
@juanjo_fraire @GLiperis @OmarRawi89 @SCobanMune @zoyaalii_ @kashish__ @BasselWattar @alteri_ale @debsmtj @AndrewIVFSAS Future: Difficult as standarizarion of protocols across clinics is necessary and they currently rely on manual techniques and operation skills. However... automation and the use of AI/robotics in the IVF lab could offer some solutions for heterogeneity in the future. #ESHREjc
Whilst we can standardise protocols, we cannot standardise the actual biopsy. How many times does your method change depending on how difficult the blastocyst is to biopsy? #eshrejc
Whilst we can standardise protocols, we cannot standardise the actual biopsy. How many times does your method change depending on how difficult the blastocyst is to biopsy? #eshrejc
@kashish__ @ESHRE 2. Each episode of pipetting between receptacles, or observation (outside the controlled incubation environment), can introduce mechanical or environmental stresses and increase risk of incident or accident, albeit small. DOI: 10.1017/S2040174417000368 #ESHREjc
@alteri_ale @GLiperis @OmarRawi89 @SCobanMune @zoyaalii_ @kashish__ @BasselWattar @debsmtj @AndrewIVFSAS Definetly! It is important to note that meta-analyses are capped by the quality of retrospective studies and outcomes 😖 #ESHREjc
@kashish__ @ESHRE Embryological and lab factors including insufficient cell number (<5 TE cells), excessive laser use or mechanical damage, contamination, poor quality blastocysts #ESHREjc
@juanjo_fraire @cimsit @GLiperis @OmarRawi89 @SCobanMune @zoyaalii_ @kashish__ @BasselWattar @alteri_ale @debsmtj @AndrewIVFSAS I think large cohort studies are needed to study the relationship between miscarriages following double biopsy+double vitrification
@juanjo_fraire @GLiperis @OmarRawi89 @SCobanMune @zoyaalii_ @kashish__ @BasselWattar @alteri_ale @debsmtj @AndrewIVFSAS 1. Limitations of Retrospective datasets: introduction of potential bias. 2. Variability in biopsy/vitri protocols. 3. Maybe neonatal outcomes underreported?
@juanjo_fraire @GLiperis @SCobanMune @zoyaalii_ @kashish__ @BasselWattar @alteri_ale @debsmtj @AndrewIVFSAS For this particular paper, variations in SOPs and all IVF cycle details within each study analyzed could actually influence results. I think a multi center RCT with a strict protocol would be very beneficial! #ESHREjc

Omar Ammar @OmarRawi89
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