Jian-Hua Wang1, Kai-Hong Xu, Jun Lin, Xue-Zhen Chen. 1. Department of Obstetrics and Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou City, Zhejiang Province, People's Republic of China.
Abstract
OBJECTIVE: To evaluate the safety and efficacy of hysteroscopic septum resection of the complete septate uterus with cervical duplication in patients with recurrent spontaneous abortions or infertility. DESIGN: Prospective consecutive clinical study. SETTING: University hospital for obstetrics, gynecology, and reproductive medicine. SUBJECT(S): Twenty-five patients with a complete septate uterus, cervical duplication, and history of recurrent spontaneous abortions (13 cases) or infertility (12 cases) were included. INTERVENTION(S): Hysteroscopic septum resection and sparing the double cervix using a bougie served as a means of orientation and blockage of internal cervical os. MAIN OUTCOME MEASURE(S): Intraoperative and postoperative complications, and postoperative anatomic identification of the uterus. RESULT(S): No intraoperative and postoperative complications were encountered. Postoperatively, ultrasound revealed minor fundal septal remnants in 7 (31.8%) of 22 patients receiving the ultrasound detection, and no residual septum in the other 15 cases (68.2%). CONCLUSION(S): By using a bougie technique, hysteroscopic correction of complete septate uterus with cervical duplication and sparing the double cervix can be performed successfully.
OBJECTIVE: To evaluate the safety and efficacy of hysteroscopic septum resection of the complete septate uterus with cervical duplication in patients with recurrent spontaneous abortions or infertility. DESIGN: Prospective consecutive clinical study. SETTING: University hospital for obstetrics, gynecology, and reproductive medicine. SUBJECT(S): Twenty-five patients with a complete septate uterus, cervical duplication, and history of recurrent spontaneous abortions (13 cases) or infertility (12 cases) were included. INTERVENTION(S): Hysteroscopic septum resection and sparing the double cervix using a bougie served as a means of orientation and blockage of internal cervical os. MAIN OUTCOME MEASURE(S): Intraoperative and postoperative complications, and postoperative anatomic identification of the uterus. RESULT(S): No intraoperative and postoperative complications were encountered. Postoperatively, ultrasound revealed minor fundal septal remnants in 7 (31.8%) of 22 patients receiving the ultrasound detection, and no residual septum in the other 15 cases (68.2%). CONCLUSION(S): By using a bougie technique, hysteroscopic correction of complete septate uterus with cervical duplication and sparing the double cervix can be performed successfully.
Authors: Marco Noventa; Giulia Spagnol; Matteo Marchetti; Carlo Saccardi; Giulio Bonaldo; Antonio Simone Laganà; Francesco Cavallin; Alessandra Andrisani; Guido Ambrosini; Salvatore Giovanni Vitale; Luis Alonso Pacheco; Sergio Haimovich; Attilio Di Spiezio Sardo; Jose Carugno; Marco Scioscia; Simone Garzon; Stefano Bettocchi; Giovanni Buzzaccarini; Roberto Tozzi; Amerigo Vitagliano Journal: J Clin Med Date: 2022-06-08 Impact factor: 4.964
Authors: Kazem Nouri; Johannes Ott; Johannes C Huber; Eva-Maria Fischer; Lucija Stögbauer; Clemens B Tempfer Journal: Reprod Biol Endocrinol Date: 2010-05-21 Impact factor: 5.211