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Article Abstract
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.
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| http://dx.doi.org/10.1016/j.fertnstert.2008.04.009 | DOI Listing |
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