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[Results of transcervical septotomy in infertility]
László Birinyi1, Orsolya Gyenes, Tamás Major
1Debreceni Egyetem Orvos- és Egészségtudományi Centrum, Altalános Orvostudományi Kar, Szülészeti és Nógyógyászati Klinika, Debrecen.
Introduction:
The anatomical abnormalities of the uterus could be the cause of infertility and spontaneous abortion in several cases.
Objects:
Authors would like to measure the successfulness of a modern endoscopic operative method among their own patients and the outcome of the pregnancies.
Methods:
Between 1st of January 1993 and 31st of December 1999 authors performed hysteroscopic septotomy in 66 patients with the history of recurrent miscarriage or uterus septum causing infertility. Based on the data of the clinical electronic database and by personal interviews 52 patients were followed up.
Results:
36 deliveries at term were registered, 28 were spontaneous and 8 were C-sections. In none of the C-section cases the previous septotomy was marked as indication for the operation. There wasn't any pregnancy found with subsequent miscarriage.
Conclusion:
Authors emphasized the advantages of hysteroscopic septotomy against abdominal metroplasty.