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Obstetric outcome after endoscopic transection of the uterine septum
Virginie Doridot1, Amélie Gervaise, Sabine Taylor
1Service de Gynécologie-Obstétrique, Hôpital A. Béclère, Clamart Cedex, France.
Study Objective:
To analyze results of endoscopic transection of uterine septum in women with primary infertility and history of recurrent abortion or late abortion.
Design:
Observational study over 6 years (Canadian Task Force classification II-2).
Setting:
University hospital.
Patients:
Seventy women, 21 with primary infertility, 33 with recurrent abortions, and 16 with late abortion or preterm delivery.
Intervention:
Hysteroscopic metroplasty with transection of uterine septum.
Measurements And Main Results:
Hysteroscopic metroplasty was possibly effective for women with primary infertility, none of whom had had abortions. It was also effective in reducing the early abortion rate and in increasing term deliveries in the group with late abortion.
Conclusion:
Endoscopic transection of uterine septum may improve obstetric outcomes in women with late abortion, decrease abortion rates in those with recurrent abortions, and avoid pregnancy loss for patients with primary infertility.