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Tactile cold scissor metroplasty as a novel backup method for hysteroscopic metroplasty
Ali M El Saman1, Atef M Darwish, Mahmoud S Zakherah
1Department of Obstetrics & Gynecology, Women's Health University Center, Faculty of Medicine, Assiut University, Assiut, Egypt. ali_elsaman@yahoo.com
Objective:
To study the operative, anatomic, and functional outcome of tactile cold scissor metroplasty (TCSM) as a backup method for hysteroscopic metroplasty.
Design:
Case series with description of the technique.
Setting:
Assiut University Women's Health Center.
Patient(S):
Three cases with failed hysteroscopic metroplasty out of 127 cases with uterine septa scheduled for hysteroscopic resection.
Intervention(S):
The TCSM procedure was performed in three cases under direct laparoscopic monitoring.
Main Outcome Measure(S):
Operative time, complications, hysteroscopic appearance of the cavity, reproductive outcome, and reintervention rates.
Results:
The TCSM procedure was performed successfully in the three cases with a short total operative time (10-12 minutes). Subsequent office hysteroscopic appearance was satisfactory. Patients were then followed up for a period of time ranging from 3 to 28 months. One case had a successful pregnancy outcome, one has an ongoing pregnancy, and the last one did not get pregnant so far.
Conclusion(S):
Tactile cold scissor metroplasty is a useful, safe, and effective backup procedure for hysteroscopic metroplasty.
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