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Hysteroscopic treatment of the uterine septum: a clinician's experience
1Pacific Gynecology Specialists, the Division of Reproductive Medicine and Surgery, Swedish Hospital Medical Center, Seattle, WA, USA.
Objective:
I reviewed my experience with the diagnosis and hysteroscopic treatment of uterine septa.
Study Design:
This article is a retrospective review of cases from 1992-1999. A septate uterus was diagnosed in a total of 40 patients, and all were treated by hysteroscopic resection.
Results:
The rate of preoperative pregnancy loss was 77.4%, and the uncomplicated delivery rate was 6.5%. After hysteroscopic septum resection 21 patients reported a total of 22 pregnancies with an 18.2% miscarriage rate and a 77.3% uncomplicated delivery rate.
Conclusion:
Hysteroscopic treatment of uterine septa is a safe, simple, and effective procedure. It can be used for all types of uterine septa, it attains optimal obstetric outcomes, and it should be undertaken whenever a uterine septum is diagnosed.