hysteroscopic metroplasty: report of 76 cases
نویسندگان
چکیده
congenital mullerian abnormalities, particularly the septate uterus, may result in recurrent abortion, premature labor and infertility. the purpose of this study is to report the surgical and reproductive outcome in two groups of patients who underwent hysteroscopic metroplasty (hmp). between aug. 1993 and march 1998,76 women underwent hmp in shiraz university of medical sciences' affiliated hospitals. they were divided into two groups. group one received no postoperative (post-op) additional therapy. group two received post-op estrogen, and an iud was also placed to prevent post-op endometrial adhesion. they were analyzed with respect to post-op complications and reproductive outcome. seven of these patients had a complete uterine septum which extended through the cervix and to the vagina. all of the seven cervical septums were incised with good obstetrical outcome. there were a total of 45 pregnancies during 6 months or more post-op in the two groups. differences between the reproductive outcome of the two groups was not statistically significant (p=o.90066) and the general results were as follows: term delivery rate was 35 (72.7%),23 (51%) delivered vaginally, and 12 (26.5%) delivered by cesarean section (cis) for obstetric indications,4 (8.8%) were spontaneous abortions and one immature delivery at 16 wks due to premature rupture of membranes (prom). intraoperative and post-op morbidity was negligible. we concluded that with hmp, septa can be incised successfully, post-op hormonal therapy and iud placement are not needed, the cervical septum can be incised without any post-op complication, and a good reproductive outcome can be expected.
منابع مشابه
HYSTEROSCOPIC METROPLASTY: REPORT OF 76 CASES
Congenital Mullerian abnormalities, particularly the septate uterus, may result in recurrent abortion, premature labor and infertility. The purpose of this study is to report the surgical and reproductive outcome in two groups of patients who underwent hysteroscopic metroplasty (HMP). Between Aug. 1993 and March 1998,76 women underwent HMP in Shiraz University of Medical Sciences' affiliat...
متن کاملHysteroscopic metroplasty.
Four patients with reproductive failure associated with uterine septa had transvaginal hysteroscopic metroplasty performed. Two successful pregnancies have occurred and a third patient is now in the second trimester of pregnancy. This method of treatment should replace the traditional open method of surgical repair of these malformations.
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The aim of this study was to determine the feasibility and safety of hysteroscopic metroplasty in cases of diethylstilboestrol-exposed and hypoplastic malformed uterus. Twenty-four patients were referred for primary infertility (n = 9), secondary infertility (n = 1) or infecundity (n = 14). Fifteen had been exposed to diethylstilboestrol in utero. All patients had a hypoplastic uterus and/or ut...
متن کاملReproductive Outcome following Hysteroscopic Monopolar Metroplasty: An Analysis of 203 Cases
متن کامل
Reproductive Outcome following Hysteroscopic Monopolar Metroplasty: An Analysis of 203 Cases
BACKGROUND : The aim of this study was to evaluate the reproductive outcome of women with history of infertility or recurrent miscarriage following hysteroscopic septum resection. MATERIALS AND METHODS :This was a retrospective descriptive study performed on 263 patients, among whom 248 patients were infertile (79% with primary infertility and 21% with secondary infertility) and 15 patients p...
متن کاملImprovement in uterine artery doppler indices via hysteroscopic metroplasty.
OBJECTIVE the objective of our research was to study uterine artery doppler indices and their evolution over time after metroplasty and subsequent pregnancy in patients whose septate uterus was the only explanation for infertility. MATERIALS AND METHODS a retrospective study. The uterine arteries of 78 patients with septate uteri were evaluated using endovaginal color doppler ultrasound befor...
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عنوان ژورنال:
medical journal of islamic republic of iranجلد ۱۳، شماره ۲، صفحات ۱۰۱-۱۰۵
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