The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan
Purpose To determine the accuracy of transvaginal 3D ultrasound scan (TV 3D US) in detecting partial septate uterus (PSU) in patients with recurrent pregnancy loss (RPL). Methods This retrospective study included 113 patients with an initial diagnosis of unexplained RPL, who were subsequently found...
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| Veröffentlicht in: | Gynecological surgery 2019-12, Vol.16 (1), p.1-8, Article 14 |
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| creator | Abuzeid, O. LaChance, J. Hebert, J. Abuzeid, M. I. Welch, R. |
| description | Purpose
To determine the accuracy of transvaginal 3D ultrasound scan (TV 3D US) in detecting partial septate uterus (PSU) in patients with recurrent pregnancy loss (RPL).
Methods
This retrospective study included 113 patients with an initial diagnosis of unexplained RPL, who were subsequently found to have PSU on diagnostic hysteroscopy and who had TV 3D US prior to surgery. The diagnosis of PSU was made at the time of a diagnostic hysteroscopy based on ESHRE-ESGE classification of Müllerian anomalies. Based on hysteroscopic findings, patients were divided into two groups: those with PSU and a central point of indentation at an acute angle |
| doi_str_mv | 10.1186/s10397-019-1066-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2324792328</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2324792328</sourcerecordid><originalsourceid>FETCH-LOGICAL-c359t-a1423b49475c2c2f765b58ef9685784bb05a3c5dafc7ed85687fa03203b434053</originalsourceid><addsrcrecordid>eNp1kctOxCAUhhujiePlAdyRuK5yKS1dGu-JiRtdE4Y5nWHSgcqhmnkg31Oa8bJyAxzO9_-Q8xfFGaMXjKn6EhkVbVNS1paM1nWp9ooZq5koOVXV_u-5qQ-LI8Q1pUJRyWfF58sKSAw9kNCRhTNLHzA5S1ZbTBAD2jBsifM_LYcT57wNm6GHBGTMlPNAEIY0biZyMMmBT0g-XFqRCHaMMddkiLD0xtst6QPiRKb8NEQzOaZoPL6bpfOmJ-KGjH2-wTD6BUFr_Elx0Jke4fR7Py5e725frh_Kp-f7x-urp9IK2abSsIqLedVWjbTc8q6p5Vwq6NpayUZV8zmVRli5MJ1tYKFkrZrOUMFpFomKSnFcnO98hxjeRsCk12GM-U-oueBV0-ZVZYrtKJsHhBE6PUS3MXGrGdVTGnqXhs5p6CkNPWn4ToOZ9UuIf87_i74AvwWQgQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2324792328</pqid></control><display><type>article</type><title>The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan</title><source>SpringerOpen</source><source>EZB Electronic Journals Library</source><creator>Abuzeid, O. ; LaChance, J. ; Hebert, J. ; Abuzeid, M. I. ; Welch, R.</creator><creatorcontrib>Abuzeid, O. ; LaChance, J. ; Hebert, J. ; Abuzeid, M. I. ; Welch, R.</creatorcontrib><description>Purpose
To determine the accuracy of transvaginal 3D ultrasound scan (TV 3D US) in detecting partial septate uterus (PSU) in patients with recurrent pregnancy loss (RPL).
Methods
This retrospective study included 113 patients with an initial diagnosis of unexplained RPL, who were subsequently found to have PSU on diagnostic hysteroscopy and who had TV 3D US prior to surgery. The diagnosis of PSU was made at the time of a diagnostic hysteroscopy based on ESHRE-ESGE classification of Müllerian anomalies. Based on hysteroscopic findings, patients were divided into two groups: those with PSU and a central point of indentation at an acute angle < 90° (PSUAA) [30.1%], and those who had PSU and a central point of indentation at an obtuse angle (PSUOA) [69.9%]. We compared the mean internal indentation length at the fundal midline (IILFM) in millimeters on TV 3D US and on diagnostic hysteroscopy. For the purpose of this study, a diagnosis of PSU on hysteroscopy was made if IILFM measured ≥ 10 mm.
Results
The mean IILFM (mm) on hysteroscopy was significantly higher than the mean IILFM (mm) measured on TV 3D US in patients with PSUAA (18.5 ± 6.5 vs 4.9 ± 4.4;
P
< 0.001), in patients with PSUOA (14.1 ± 3.8 vs 4.3 ± 3.4;
P
< 0.001), and in the overall population (15.3 ± 5.1 vs 4.1 ± 4.4;
P
< 0.001).
Conclusions
The data suggest that mean IILFM in patients with RPL and PSU can be underestimated on TV 3D US. Therefore, its diagnostic accuracy in such patients may need further evaluation.</description><identifier>ISSN: 1613-2076</identifier><identifier>EISSN: 1613-2084</identifier><identifier>DOI: 10.1186/s10397-019-1066-8</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Endoscopy ; Gynecology ; Interventional Radiology ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Miscarriage ; Obstetrics/Perinatology/Midwifery ; Original Article ; Pregnancy ; Reproductive Medicine ; Surgical Oncology ; Ultrasonic imaging</subject><ispartof>Gynecological surgery, 2019-12, Vol.16 (1), p.1-8, Article 14</ispartof><rights>The Author(s). 2019</rights><rights>Gynecological Surgery is a copyright of Springer, (2019). All Rights Reserved. © 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-a1423b49475c2c2f765b58ef9685784bb05a3c5dafc7ed85687fa03203b434053</citedby><cites>FETCH-LOGICAL-c359t-a1423b49475c2c2f765b58ef9685784bb05a3c5dafc7ed85687fa03203b434053</cites><orcidid>0000-0001-5848-2856</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1186/s10397-019-1066-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://doi.org/10.1186/s10397-019-1066-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27901,27902,41096,42165,51551</link.rule.ids></links><search><creatorcontrib>Abuzeid, O.</creatorcontrib><creatorcontrib>LaChance, J.</creatorcontrib><creatorcontrib>Hebert, J.</creatorcontrib><creatorcontrib>Abuzeid, M. I.</creatorcontrib><creatorcontrib>Welch, R.</creatorcontrib><title>The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan</title><title>Gynecological surgery</title><addtitle>Gynecol Surg</addtitle><description>Purpose
To determine the accuracy of transvaginal 3D ultrasound scan (TV 3D US) in detecting partial septate uterus (PSU) in patients with recurrent pregnancy loss (RPL).
Methods
This retrospective study included 113 patients with an initial diagnosis of unexplained RPL, who were subsequently found to have PSU on diagnostic hysteroscopy and who had TV 3D US prior to surgery. The diagnosis of PSU was made at the time of a diagnostic hysteroscopy based on ESHRE-ESGE classification of Müllerian anomalies. Based on hysteroscopic findings, patients were divided into two groups: those with PSU and a central point of indentation at an acute angle < 90° (PSUAA) [30.1%], and those who had PSU and a central point of indentation at an obtuse angle (PSUOA) [69.9%]. We compared the mean internal indentation length at the fundal midline (IILFM) in millimeters on TV 3D US and on diagnostic hysteroscopy. For the purpose of this study, a diagnosis of PSU on hysteroscopy was made if IILFM measured ≥ 10 mm.
Results
The mean IILFM (mm) on hysteroscopy was significantly higher than the mean IILFM (mm) measured on TV 3D US in patients with PSUAA (18.5 ± 6.5 vs 4.9 ± 4.4;
P
< 0.001), in patients with PSUOA (14.1 ± 3.8 vs 4.3 ± 3.4;
P
< 0.001), and in the overall population (15.3 ± 5.1 vs 4.1 ± 4.4;
P
< 0.001).
Conclusions
The data suggest that mean IILFM in patients with RPL and PSU can be underestimated on TV 3D US. Therefore, its diagnostic accuracy in such patients may need further evaluation.</description><subject>Endoscopy</subject><subject>Gynecology</subject><subject>Interventional Radiology</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Miscarriage</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Original Article</subject><subject>Pregnancy</subject><subject>Reproductive Medicine</subject><subject>Surgical Oncology</subject><subject>Ultrasonic imaging</subject><issn>1613-2076</issn><issn>1613-2084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctOxCAUhhujiePlAdyRuK5yKS1dGu-JiRtdE4Y5nWHSgcqhmnkg31Oa8bJyAxzO9_-Q8xfFGaMXjKn6EhkVbVNS1paM1nWp9ooZq5koOVXV_u-5qQ-LI8Q1pUJRyWfF58sKSAw9kNCRhTNLHzA5S1ZbTBAD2jBsifM_LYcT57wNm6GHBGTMlPNAEIY0biZyMMmBT0g-XFqRCHaMMddkiLD0xtst6QPiRKb8NEQzOaZoPL6bpfOmJ-KGjH2-wTD6BUFr_Elx0Jke4fR7Py5e725frh_Kp-f7x-urp9IK2abSsIqLedVWjbTc8q6p5Vwq6NpayUZV8zmVRli5MJ1tYKFkrZrOUMFpFomKSnFcnO98hxjeRsCk12GM-U-oueBV0-ZVZYrtKJsHhBE6PUS3MXGrGdVTGnqXhs5p6CkNPWn4ToOZ9UuIf87_i74AvwWQgQ</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Abuzeid, O.</creator><creator>LaChance, J.</creator><creator>Hebert, J.</creator><creator>Abuzeid, M. I.</creator><creator>Welch, R.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0001-5848-2856</orcidid></search><sort><creationdate>20191201</creationdate><title>The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan</title><author>Abuzeid, O. ; LaChance, J. ; Hebert, J. ; Abuzeid, M. I. ; Welch, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-a1423b49475c2c2f765b58ef9685784bb05a3c5dafc7ed85687fa03203b434053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Endoscopy</topic><topic>Gynecology</topic><topic>Interventional Radiology</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Miscarriage</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Original Article</topic><topic>Pregnancy</topic><topic>Reproductive Medicine</topic><topic>Surgical Oncology</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abuzeid, O.</creatorcontrib><creatorcontrib>LaChance, J.</creatorcontrib><creatorcontrib>Hebert, J.</creatorcontrib><creatorcontrib>Abuzeid, M. I.</creatorcontrib><creatorcontrib>Welch, R.</creatorcontrib><collection>SpringerOpen</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Gynecological surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abuzeid, O.</au><au>LaChance, J.</au><au>Hebert, J.</au><au>Abuzeid, M. I.</au><au>Welch, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan</atitle><jtitle>Gynecological surgery</jtitle><stitle>Gynecol Surg</stitle><date>2019-12-01</date><risdate>2019</risdate><volume>16</volume><issue>1</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><artnum>14</artnum><issn>1613-2076</issn><eissn>1613-2084</eissn><abstract>Purpose
To determine the accuracy of transvaginal 3D ultrasound scan (TV 3D US) in detecting partial septate uterus (PSU) in patients with recurrent pregnancy loss (RPL).
Methods
This retrospective study included 113 patients with an initial diagnosis of unexplained RPL, who were subsequently found to have PSU on diagnostic hysteroscopy and who had TV 3D US prior to surgery. The diagnosis of PSU was made at the time of a diagnostic hysteroscopy based on ESHRE-ESGE classification of Müllerian anomalies. Based on hysteroscopic findings, patients were divided into two groups: those with PSU and a central point of indentation at an acute angle < 90° (PSUAA) [30.1%], and those who had PSU and a central point of indentation at an obtuse angle (PSUOA) [69.9%]. We compared the mean internal indentation length at the fundal midline (IILFM) in millimeters on TV 3D US and on diagnostic hysteroscopy. For the purpose of this study, a diagnosis of PSU on hysteroscopy was made if IILFM measured ≥ 10 mm.
Results
The mean IILFM (mm) on hysteroscopy was significantly higher than the mean IILFM (mm) measured on TV 3D US in patients with PSUAA (18.5 ± 6.5 vs 4.9 ± 4.4;
P
< 0.001), in patients with PSUOA (14.1 ± 3.8 vs 4.3 ± 3.4;
P
< 0.001), and in the overall population (15.3 ± 5.1 vs 4.1 ± 4.4;
P
< 0.001).
Conclusions
The data suggest that mean IILFM in patients with RPL and PSU can be underestimated on TV 3D US. Therefore, its diagnostic accuracy in such patients may need further evaluation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1186/s10397-019-1066-8</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5848-2856</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Gynecological surgery, 2019-12, Vol.16 (1), p.1-8, Article 14 |
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| language | eng |
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| source | SpringerOpen; EZB Electronic Journals Library |
| subjects | Endoscopy Gynecology Interventional Radiology Medical diagnosis Medicine Medicine & Public Health Minimally Invasive Surgery Miscarriage Obstetrics/Perinatology/Midwifery Original Article Pregnancy Reproductive Medicine Surgical Oncology Ultrasonic imaging |
| title | The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan |
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