Document Detail


Resectoscope or Versapoint for hysteroscopic metroplasty.
MedLine Citation:
PMID:  18078939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the feasibility, safety, and reproductive outcome of hysteroscopic metroplasty using the Versapoint device compared with the resectoscope using the Collins loop. METHODS: Sixty-three women diagnosed with partial septate uterus were included in the study. Forty-two women underwent hysteroscopic metroplasty using Versapoint and 21 women had the procedure using the resectoscope. Operating time, complications, pregnancy rate, and mode of delivery were recorded. Data were analyzed with the Mann-Whitney test. RESULTS: Operating time was 20.5 min for the resectoscope group and 15.4 min for the Versapoint group (P<0.05). Pregnancy rate, delivery rate, and spontaneous abortions were similar in both groups. CONCLUSION: 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.
Authors:
Pietro Litta; Elena Spiller; Carlo Saccardi; Guido Ambrosini; Donatella Caserta; Erich Cosmi
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article     Date:  2008-02-20
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  101     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-17     Completed Date:  2008-08-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  39-42     Citation Subset:  IM    
Affiliation:
Department of Gynecological Science and Human Reproduction, University of Padua School of Medicine, Padua, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Feasibility Studies
Female
Humans
Hysteroscopes
Hysteroscopy / methods*
Pregnancy
Pregnancy Outcome*
Pregnancy Rate
Treatment Outcome
Uterine Diseases / surgery*
Uterus / abnormalities*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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