Resectoscope or Versapoint for hysteroscopic metroplasty

Abstract

Operative hysteroscopy with Versapoint does not require cervical dilation, thus avoiding cervical incompetence, cervical lacerations, and uterine perforation. The Versapoint technique is a safe and effective alternative to the resectoscope. It could be used predominantly in nulligravida women, especially in those with cervical canal stenosis.

Congenital malformations of the female genital tract: the need for a new classification system

“…Laparoscopy and hysteroscopy markedly increase our therapeutic options (6,77,78,98,(114)(115)(116)(117)(118)(119)(120)(121). Furthermore, many new therapeutic options have been proposed for the restoration of vaginal and/or cervical aplasia/dysplasia in the presence or not of a functional uterus (18, 26, 32, 82, 100-104, 106, 113, 122-131).…”

Not every subseptate uterus requires surgical correction to reduce poor reproductive outcome

“…Many researchers also advocate that women with septate uterus who have a history of repeated adverse reproductive outcomes, including fetal loss in the first and second trimesters, preterm labor, and intrauterine growth retardation, should undergo hysteroscopic correction before their next conception. The hysteroscopic procedure is now used widely in women with RSA or unexplained infertility [8,9].…”

Prise en charge d’un antécédent de fausse couche tardive (14 à 22SA)

“…Par ailleurs, la chirurgie n'est pas sans risque de complications (perforation utérine et lacération cervicale [9,5 %]) [9] et le risque de complications obstétricales au décours n'est pas bien évalué. Une étude rétrospec-tive comparant 31 patientes après section de cloison à 62 témoins retrouve une augmentation du risque de césarienne (61,3 % versus 6,4 % [p < 0,05]), présentation dystocique (35,5 versus 0 %) (p < 0,05) [10] (NP4).…”