Outpatient management of severe/critical ovarian hyperstimulation syndrome (OHSS) with placement of pig tail catheter

Early initiation of gonadotropin-releasing hormone antagonist in polycystic ovarian syndrome patients undergoing assisted reproduction: randomized controlled trial ISRCTN69937179

“…The incidence of severe OHSS according to Golan et al [15] criteria was documented in each group. If severe OHSS occurred, it was treated by insertion of a pigtail catheter and hydration on outpatient basis in the majority of patients [16,17]. Follow up for all patients was completed by the end of October 2009.…”

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“…Surgical decompression is presently an alternative used in the treatment of severe OHSS. Some authors describe a significant improvement of the renal blood flow and an increase of the diuresis after paracentesis or culdocentesis [9][10][11]. This positive trend can be explained by the effect of a decrease in IAP secondary to fluid removal.…”

Management of ovarian hyperstimulation syndrome with abdominal compartment syndrome, based on intravesical pressure measurement

“…17 Although various disease severity classifications have been proposed, OHSS traditionally has been classified as "mild," "moderate," or "severe." 17,18 Severe OHSS, which requires hospitalization, is characterized by the presence of vomiting (sometimes uncontrollable), dyspnea, accumulation of fluid in the third space with hydrothorax, and/or tense ascites (with pain) and evidence of intravascular fluid loss, hypovolemia with hemoconcentration, electrolyte imbalance, oliguria, and/or hepatorenal failure, with an ovary diameter of >12 cm. 17 The patient in the present study was diagnosed with severe OHSS according to that classification.…”