Document Detail

Hysteroscopic septum resection of complete septate uterus with cervical duplication, sparing the double cervix in patients with recurrent spontaneous abortions or infertility.
MedLine Citation:
PMID:  18565515     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the safety and efficacy of hysteroscopic septum resection of the complete septate uterus with cervical duplication in patients with recurrent spontaneous abortions or infertility. DESIGN: Prospective consecutive clinical study. SETTING: University hospital for obstetrics, gynecology, and reproductive medicine. SUBJECT(S): Twenty-five patients with a complete septate uterus, cervical duplication, and history of recurrent spontaneous abortions (13 cases) or infertility (12 cases) were included. INTERVENTION(S): Hysteroscopic septum resection and sparing the double cervix using a bougie served as a means of orientation and blockage of internal cervical os. MAIN OUTCOME MEASURE(S): Intraoperative and postoperative complications, and postoperative anatomic identification of the uterus. RESULT(S): No intraoperative and postoperative complications were encountered. Postoperatively, ultrasound revealed minor fundal septal remnants in 7 (31.8%) of 22 patients receiving the ultrasound detection, and no residual septum in the other 15 cases (68.2%). CONCLUSION(S): By using a bougie technique, hysteroscopic correction of complete septate uterus with cervical duplication and sparing the double cervix can be performed successfully.
Jian-Hua Wang; Kai-Hong Xu; Jun Lin; Xue-Zhen Chen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-06-18
Journal Detail:
Title:  Fertility and sterility     Volume:  91     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-01     Completed Date:  2009-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2643-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou City, Zhejiang Province, People's Republic of China.
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MeSH Terms
Abortion, Spontaneous / epidemiology*
Cervix Uteri / abnormalities*,  pathology,  surgery*
Hospitals, University
Hysteroscopy / methods
Infant, Newborn
Infant, Premature
Infertility, Female / surgery*
Pregnancy, Tubal
Prospective Studies
Uterus / abnormalities,  pathology,  surgery*

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