Surgical treatment of septate uterus in cases of primary infertility and before assisted reproductive technologies

Corroënne, Romain; Legendre, Guillaume; May‐Panloup, Pascale; Hachem, Hady El; Dreux, C.; Jeanneteau, Pauline; Boucret, Lisa; Descamps, Philippe; Bouet, Pierre

doi:10.1016/j.jogoh.2018.08.005

Cited by 20 publications

(12 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Corroenne et al. 18 recommended hysteroscopic septum incision for patients with primary infertility and patients undergoing assisted reproductive technologies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Operative hysteroscopy platform at a university teaching hospital: a retrospective study

Al-Husban

Rokbeh

2019

J Int Med Res

View full text Add to dashboard Cite

Objective This study was performed to investigate the prevalence, indications, effectiveness, outcomes, and complications of operative hysteroscopy in gynecological patients with an emphasis on the need for further training and equipping facilities as performed by consultant gynecologists. Methods This was a retrospective descriptive study of operative hysteroscopic procedures from 19 September 2016 to 31 December 2018. Results In total, 1919 hysteroscopic procedures were performed [1829 (95.3%) diagnostic and 90 (4.7%) operative hysteroscopies]. The patients’ mean age was 42.4 years (range, 20–69 years). The most common operative procedure was hysteroscopic fibroid polypectomy in 31 patients (34.4%), followed by transcervical resection of the endometrium in 23 (25.6%) and endometrial polypectomy in 16 (17.8%). The most common indication was menorrhagia in 57 patients (63.33%), followed by recurrent miscarriages in 9 (10.00%) and primary infertility in 5 (5.56%). Sixty-six patients (73.33%) were treated under general anesthesia and 24 (26.67%) under spinal anesthesia. Fifteen fibroids (48.4%) were 3 to 4 cm in size and 11 (35.5%) were >4 cm. Eight polyps (50%) were 3 to 4 cm. The mean uterine size and endometrial thickness were 8.9 ± 2.16 weeks and 11.1 ± 3.01 mm, respectively. The mean preoperative hemoglobin level was 10.9 g/dL and the mean estimated blood loss was 65.9 ± 48.7 mL (range, 10–200 mL). Thirty-eight patients (60.3%) with heavy bleeding improved with no need for further medical or surgical intervention. Eleven patients (44%) with reproductive issues conceived or regained their normal menstrual pattern. Two patients (2.2%) had excessive fluid absorption and one (1.1%) had uterine perforation. Conclusions Operative hysteroscopy was an effective and safe option in certain uterine pathologies. Specific training in operative hysteroscopy should be promoted to make this type of surgery an integral part of gynecological services in the developing world.

show abstract

“…Corroenne et al. 18 recommended hysteroscopic septum incision for patients with primary infertility and patients undergoing assisted reproductive technologies.…”

Section: Discussionmentioning

confidence: 99%

“…17 Indications for septoplasty include recurrent miscarriages, infertility, and an incidentally identified isolated septum. Corroenne et al 18 recommended hysteroscopic septum incision for patients with primary infertility and patients undergoing assisted reproductive technologies.…”

Section: Discussionmentioning

confidence: 99%

Operative hysteroscopy platform at a university teaching hospital: a retrospective study

Al-Husban

Rokbeh

2019

J Int Med Res

View full text Add to dashboard Cite

show abstract

“…While an arcuate uterus shows a mild form of anomaly, a bicornuate uterus represents total failure. The actual uterine malformation prevalence is difficult to be determined since many of them are asymptomatic although Recurrent Implantation Failure: The Role of Anatomical Causes DOI: http://dx.doi.org/10.5772/intechopen.98505 they reach approximately 5.5% of the general population; 8% among infertile women and 13.5% among women with history of recurrent fetal loss [15]. A prospective observational study evaluated the prevalence of congenital uterine anomalies, including arcuate uterus, and their effect on the reproductive outcome among sub fertile women undergoing assisted reproduction.…”

Section: Congenital Uterine Anomaliesmentioning

confidence: 99%

Recurrent Implantation Failure: The Role of Anatomical Causes

Barcelos¹,

Filho²,

Goulart³

et al. 2021

Infertility and Assisted Reproduction

View full text Add to dashboard Cite

Recurrent implantation failure (RIF) is one of the great challenges of current reproductive medicine. The term refers to the failure of repeated transfers of embryos of good morphological quality. Embryo implantation is a crucial moment in in vitro fertilization (IVF) treatments. A successful pregnancy depends on a synchronized interaction between a good quality embryo and a receptive endometrium. Its failure may be a consequence of embryo quality, anatomical or immunological factors. The anatomic causes constitute an important factor for RIF, although they are usually manageable. Fibroids, polyps and adhesions that develop after a surgical procedure or infection can hamper the embryo - endometrium attachment process. In addition, Mullerian abnormalities and hydrosalpinx can cause a negative impact on implantation rates and should also be taken into account in patients with RIF. In this chapter, we will address the main anatomical causes that may impact the implantation rates of patients undergoing IVF, as well as recommendations on management and its treatment.

show abstract

“…На сегодняшний день нет единого мнения о ведении женщин с перегородкой полости матки. R. Corroenne et al (2018) считают, что хирургическая коррекция внутриматочной перегородки до переноса эмбрионов увеличивает частоту имплантации эмбрионов, улучшая тем самым результаты программ экстракорпорального оплодотворения [29]. Marcus et al (1996) оценили частоту наступления беременности у женщин с бесплодием и врожденными пороками развития матки при использовании вспомогательных репродуктивных технологий.…”

Section: основные принципы диагностики внутриматочной перегородкиunclassified

Differential diagnosis of the uterine septum: problems and solutions

et al. 2020

View full text Add to dashboard Cite

show abstract

Surgical treatment of septate uterus in cases of primary infertility and before assisted reproductive technologies

Cited by 20 publications

References 36 publications

Operative hysteroscopy platform at a university teaching hospital: a retrospective study

Operative hysteroscopy platform at a university teaching hospital: a retrospective study

Recurrent Implantation Failure: The Role of Anatomical Causes

Differential diagnosis of the uterine septum: problems and solutions

Contact Info

Product

Resources

About