Hysteroscopic metroplasty in patients with a uterine septum and otherwise unexplained infertility

Abstract

The results indicate that hysteroscopic metroplasty improves reproductive outcome for patients with a uterine septum and otherwise unexplained infertility.

Clinical implications of congenital uterine anomalies: a meta-analysis of comparative studies

“…Of the total of 103 potentially relevant manuscripts identified, 65 studies were excluded after the examination of the abstracts and 38 studies were further evaluated by retrieving the full text. Finally, after the exclusion of 13 studies, 25 studies were included in the present systematic review and meta-analysis (Acien, 1993;Ban-Frangez et al, 2009;Ben-Rafael et al, 1991;Cooney et al, 1997;Erez et al, 2007;Heinonen, 1997;Hua et al, 2011;Jayaprakasan et al, 2011;Lavergne et al, 1996;Liang and Hu, 2010;Lin et al, 2009;Munoz Munoz et al, 2011;Pang et al, 2011;Ravasia et al, 1999;Saravelos et al, 2010;Shuiqing et al, 2002;Sorensen and Trauelsen, 1987;Sugiura-Ogasawara et al, 2010;Tomazevic et al, 2010;Tonguc et al, 2011;Valli et al, 2004;Woelfer et al, 2001;Zhang et al, 2010;Zlopasa et al, 2007;Zupi et al, 1996) (Figure 1). Characteristics of the studies included in the systematic review are presented in Table 1.…”

“…Data on the effect of hysteroscopic treatment of a uterine septum on the probability of pregnancy achievement were limited. Three studies offered relevant data, two of which in women with recurrent abortions (Pang et al, 2011;Valli et al, 2004) and one in women with unexplained infertility (Tonguc et al, 2011). In the study of Pang et al (2011), data were also provided in women with no history of poor reproductive outcome.…”

Hysteroscopic septal resection using unipolar resectoscope versus bipolar resectoscope: Prospective, randomized study

“…Septate uterus is the most common mullerian duct anomaly and is associated with poor reproductive outcome, such as abortion, preterm delivery and infertility . Hysteroscopic resection of septum may improve the reproductive outcome in these women and has been shown to be effective in many non‐controlled studies . Traditionally, it has been performed using a unipolar resectoscope and with non‐electrolytic solutions such as glycine, sorbitol and mannitol to distend the uterine cavity.…”

Advanced Hysteroscopic Surgery Training

“…The skills required to perform advanced hysteroscopic surgery (AHS)—for example, transcervical hysteroscopic endometrial resection (TCRE), hysteroscopic polypectomy, and myomectomy in the management of menorrhagia 1 ; hysteroscopic septolysis in patients with fertility-related gynecologic problems 2 ; hysteroscopic removal of chronically retained products of conception (placenta accreta) 3 ; and excision of intramural ectopic pregnancy 4 —ought to be practiced by contemporary gynecologic surgeons in their day-to-day clinical practice. AHS is a minimally invasive procedure that preserves the uterus in most cases.…”