Metroplasty in a Large Population of Women with Septate Uterus

The techniques and outcomes of hysteroscopic metroplasty

“…These data, therefore, suggest that women with otherwise unexplained infertility could benefit from prophylactic hysteroscopic metroplasty. In contrast, Paradisi et al [18] stressed that there were no differences in the reproductive performance between infertile patients and recurrent aborters in a large population of women with septate uterus treated with metroplasty, in agreement with many other studies [22 & ,27,41-43], who found after metroplasty a clear and similar improvement in pregnancy and delivery rates of patients with uterine malformations and with recurrent miscarriage or unexplained primary infertility. In contrast, Paradisi et al [18] stressed that there were no differences in the reproductive performance between infertile patients and recurrent aborters in a large population of women with septate uterus treated with metroplasty, in agreement with many other studies [22 & ,27,41-43], who found after metroplasty a clear and similar improvement in pregnancy and delivery rates of patients with uterine malformations and with recurrent miscarriage or unexplained primary infertility.…”

“…Furthermore, Kayem et al [17] highlighted the possibility of a trial of labor after cesarean section even after previous hysteroscopic metroplasty for uterine septum. Many authors [18,19,20 && ,21 & -23 & ] showed an excellent prognosis for successful pregnancy after hysteroscopic metroplasty because in the cohorts of patients treated the septum resection highly improves the reproductive performance, increasing delivery rates, decreasing indirectly abortion rates, and confirming, therefore, the efficacy of surgical correction of uterine anomalies. However, the procedure and its indications are a matter of debate because of the inconsistency of the available literature.…”

“…Many authors [18,19,20 && ,21 & -23 & ] showed an excellent prognosis for successful pregnancy after hysteroscopic metroplasty because in the cohorts of patients treated the septum resection highly improves the reproductive performance, increasing delivery rates, decreasing indirectly abortion rates, and confirming, therefore, the efficacy of surgical correction of uterine anomalies. Some authors [18,19 Some authors [18,19 …”

Successful pregnancy in each half uterus cavity of the septate uterus after transferring three embryos in one half-cavity: a case report

“…The live birth rate was also higher in the patients who had surgery (34.1%) than that (18.9%) in the patients who did not have surgery. Paradisi et al [12] reported that the hysteroscopic metroplasty was a simple, safe, and rapid surgical procedure that can improve the pregnancy.…”

Minirressectoscópio de Gubbini

“…10,11 O pequeno calibre do minirressectoscópio, associado à miniaturização de suas alç as, o torna contraindicado na remoção de fibromas submucosos de diâmetro superior a 3 cm. Esse limite não está relacionado à dificuldade cirúrgica, mas à necessidade de um tempo maior para concluir o procedimento, o que implica um aumento do risco de absorção do líquido de distensão, assim como prolonga a exposição da paciente aos riscos inerentes à anestesia.…”