| Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum. | |
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MedLine Citation:
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PMID: 16600229 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine if sectioning of the cervical septum in hysteroscopic metroplasty of the complete uterine septum is associated with intraoperative bleeding, cervical incompetence, and secondary infertility. DESIGN: Multicenter, randomized, controlled clinical trial. SETTING: University hospitals. PATIENT(S): Twenty-eight women with a diagnosis of complete uterine septum who had a history of pregnancy wastage or infertility. They were randomized into two groups: group A underwent metroplasty including section of the cervical septum; group B underwent the same procedure with preservation of the cervical septum. INTERVENTION(S): Hysteroscopic metroplasty was performed for all patients in the two groups. MAIN OUTCOME MEASURE(S): Operating time, distending media deficit, total distending media used, intraoperative bleeding, complications, and reproductive outcome. RESULT(S): Operating times were 36.40 +/- 10.67 minutes and 73 +/- 14.40 minutes in group A and group B, respectively. Distending media deficit was 456.66 +/- 165.68 mL in group A, while in group B it was 673.84 +/- 220.36. Two cases of pulmonary edema and three cases of significant bleeding (> 150 mL) were seen in group B. The cesarean section rate was significantly higher in group B. There were no significant differences in the reproductive outcome in the two groups. CONCLUSION(S): Resection of the cervical septum during hysteroscopic metroplasty of complete uterine septum makes the procedure safer, easier, and less complicated than the procedure with preservation of the cervical septum. This procedure is recommended for all cases of complete uterine septum. |
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Authors:
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Mohammad Ebrahim Parsanezhad; Saeed Alborzi; Afsoun Zarei; Sedigheh Dehbashi; Lila Ghasempour Shirazi; Abdolreza Rajaeefard; Ernst Hienrich Schmidt |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Randomized Controlled Trial Date: 2006-04-05 |
Journal Detail:
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Title: Fertility and sterility Volume: 85 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2006 May |
Date Detail:
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Created Date: 2006-05-01 Completed Date: 2006-05-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 1473-7 Citation Subset: IM |
Affiliation:
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Referral GYN Endoscopy Centers, Department of Obstetrics and Gynecology, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. parsame@sums.ac.ir |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Loss, Surgical / statistics & numerical data* Cervix Uteri / abnormalities, surgery Female Genitalia, Female / abnormalities*, surgery* Germany / epidemiology Humans Hysteroscopy / statistics & numerical data* Incidence Infertility, Female / epidemiology* Iran / epidemiology Mullerian Ducts Risk Assessment / methods Risk Factors Treatment Outcome Uterine Cervical Incompetence / epidemiology* Uterine Hemorrhage / epidemiology* Uterus / abnormalities, surgery Vagina / abnormalities, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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