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Hysteroscopic metroplasty improves gestational outcome in women with recurrent spontaneous abortion
Edoardo Valli1, Elena Vaquero, Natalia Lazzarin
1Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy.
Study Objective:
To compare the reproductive outcome in women with recurrent spontaneous abortion (RSA) associated with septate uterus after hysteroscopic metroplasty compared with patients who did not undergo surgery.
Design:
Longitudinal evaluation (Canadian Task Force classification II-2).
Setting:
University of Rome, Tor Vergata-affiliated endoscopic unit.
Patients:
Forty-eight consecutive women with septate uterus and RSA were enrolled in the study.
Interventions:
Hysteroscopic metroplasty.
Measurements And Main Results:
Reproductive outcome in terms of term pregnancy was significantly improved after hysteroscopic metroplasty compared with controls (76% vs. 20%). No differences were found in the prevalence of preterm delivery between groups (4% vs. 5%).
Conclusion:
Our data suggest that hysteroscopic septum incision can improve pregnancy outcome in patients with RSA associated with septate uterus.
