Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum
To determine if sectioning of the cervical septum in hysteroscopic metroplasty of the complete uterine septum is associated with intraoperative bleeding, cervical incompetence, and secondary infertility. Multicenter, randomized, controlled clinical trial. University hospitals. Twenty-eight women wit...
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| Veröffentlicht in: | Fertility and sterility 2006-05, Vol.85 (5), p.1473-1477 |
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| container_title | Fertility and sterility |
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| creator | Parsanezhad, Mohammad Ebrahim Alborzi, Saeed Zarei, Afsoun Dehbashi, Sedigheh Shirazi, Lila Ghasempour Rajaeefard, Abdolreza Schmidt, Ernst Hienrich |
| description | To determine if sectioning of the cervical septum in hysteroscopic metroplasty of the complete uterine septum is associated with intraoperative bleeding, cervical incompetence, and secondary infertility.
Multicenter, randomized, controlled clinical trial.
University hospitals.
Twenty-eight women with a diagnosis of complete uterine septum who had a history of pregnancy wastage or infertility. They were randomized into two groups: group A underwent metroplasty including section of the cervical septum; group B underwent the same procedure with preservation of the cervical septum.
Hysteroscopic metroplasty was performed for all patients in the two groups.
Operating time, distending media deficit, total distending media used, intraoperative bleeding, complications, and reproductive outcome.
Operating times were 36.40 ± 10.67 minutes and 73 ± 14.40 minutes in group A and group B, respectively. Distending media deficit was 456.66 ± 165.68 mL in group A, while in group B it was 673.84 ± 220.36. Two cases of pulmonary edema and three cases of significant bleeding (>150 mL) were seen in group B. The cesarean section rate was significantly higher in group B. There were no significant differences in the reproductive outcome in the two groups.
Resection of the cervical septum during hysteroscopic metroplasty of complete uterine septum makes the procedure safer, easier, and less complicated than the procedure with preservation of the cervical septum. This procedure is recommended for all cases of complete uterine septum. |
| doi_str_mv | 10.1016/j.fertnstert.2005.10.044 |
| format | Article |
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Multicenter, randomized, controlled clinical trial.
University hospitals.
Twenty-eight women with a diagnosis of complete uterine septum who had a history of pregnancy wastage or infertility. They were randomized into two groups: group A underwent metroplasty including section of the cervical septum; group B underwent the same procedure with preservation of the cervical septum.
Hysteroscopic metroplasty was performed for all patients in the two groups.
Operating time, distending media deficit, total distending media used, intraoperative bleeding, complications, and reproductive outcome.
Operating times were 36.40 ± 10.67 minutes and 73 ± 14.40 minutes in group A and group B, respectively. Distending media deficit was 456.66 ± 165.68 mL in group A, while in group B it was 673.84 ± 220.36. Two cases of pulmonary edema and three cases of significant bleeding (>150 mL) were seen in group B. The cesarean section rate was significantly higher in group B. There were no significant differences in the reproductive outcome in the two groups.
Resection of the cervical septum during hysteroscopic metroplasty of complete uterine septum makes the procedure safer, easier, and less complicated than the procedure with preservation of the cervical septum. This procedure is recommended for all cases of complete uterine septum.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2005.10.044</identifier><identifier>PMID: 16600229</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Blood Loss, Surgical - statistics & numerical data ; cervical septum ; Cervix Uteri - abnormalities ; Cervix Uteri - surgery ; Complete uterine septum ; Female ; Genitalia, Female - abnormalities ; Genitalia, Female - surgery ; Germany - epidemiology ; Gynecology. Andrology. Obstetrics ; Humans ; hysteroscopy ; Hysteroscopy - statistics & numerical data ; Incidence ; Infertility, Female - epidemiology ; Iran - epidemiology ; Medical sciences ; metroplasty ; Mullerian Ducts ; Risk Assessment - methods ; Risk Factors ; Treatment Outcome ; Uterine Cervical Incompetence - epidemiology ; Uterine Hemorrhage - epidemiology ; Uterus - abnormalities ; Uterus - surgery ; Vagina - abnormalities ; Vagina - surgery ; vaginal septum</subject><ispartof>Fertility and sterility, 2006-05, Vol.85 (5), p.1473-1477</ispartof><rights>2006 American Society for Reproductive Medicine</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-8ee03f0eed0fc63c0bfacb1f7c5884e19177b031fa7f6960317e52bc1cb307f93</citedby><cites>FETCH-LOGICAL-c452t-8ee03f0eed0fc63c0bfacb1f7c5884e19177b031fa7f6960317e52bc1cb307f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fertnstert.2005.10.044$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17758751$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16600229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parsanezhad, Mohammad Ebrahim</creatorcontrib><creatorcontrib>Alborzi, Saeed</creatorcontrib><creatorcontrib>Zarei, Afsoun</creatorcontrib><creatorcontrib>Dehbashi, Sedigheh</creatorcontrib><creatorcontrib>Shirazi, Lila Ghasempour</creatorcontrib><creatorcontrib>Rajaeefard, Abdolreza</creatorcontrib><creatorcontrib>Schmidt, Ernst Hienrich</creatorcontrib><title>Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>To determine if sectioning of the cervical septum in hysteroscopic metroplasty of the complete uterine septum is associated with intraoperative bleeding, cervical incompetence, and secondary infertility.
Multicenter, randomized, controlled clinical trial.
University hospitals.
Twenty-eight women with a diagnosis of complete uterine septum who had a history of pregnancy wastage or infertility. They were randomized into two groups: group A underwent metroplasty including section of the cervical septum; group B underwent the same procedure with preservation of the cervical septum.
Hysteroscopic metroplasty was performed for all patients in the two groups.
Operating time, distending media deficit, total distending media used, intraoperative bleeding, complications, and reproductive outcome.
Operating times were 36.40 ± 10.67 minutes and 73 ± 14.40 minutes in group A and group B, respectively. Distending media deficit was 456.66 ± 165.68 mL in group A, while in group B it was 673.84 ± 220.36. Two cases of pulmonary edema and three cases of significant bleeding (>150 mL) were seen in group B. The cesarean section rate was significantly higher in group B. There were no significant differences in the reproductive outcome in the two groups.
Resection of the cervical septum during hysteroscopic metroplasty of complete uterine septum makes the procedure safer, easier, and less complicated than the procedure with preservation of the cervical septum. This procedure is recommended for all cases of complete uterine septum.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical - statistics & numerical data</subject><subject>cervical septum</subject><subject>Cervix Uteri - abnormalities</subject><subject>Cervix Uteri - surgery</subject><subject>Complete uterine septum</subject><subject>Female</subject><subject>Genitalia, Female - abnormalities</subject><subject>Genitalia, Female - surgery</subject><subject>Germany - epidemiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>hysteroscopy</subject><subject>Hysteroscopy - statistics & numerical data</subject><subject>Incidence</subject><subject>Infertility, Female - epidemiology</subject><subject>Iran - epidemiology</subject><subject>Medical sciences</subject><subject>metroplasty</subject><subject>Mullerian Ducts</subject><subject>Risk Assessment - methods</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><subject>Uterine Cervical Incompetence - epidemiology</subject><subject>Uterine Hemorrhage - epidemiology</subject><subject>Uterus - abnormalities</subject><subject>Uterus - surgery</subject><subject>Vagina - abnormalities</subject><subject>Vagina - surgery</subject><subject>vaginal septum</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE2P1DAMQCMEYoeFv4BygdN2cNomaY-wAhZpJS5wJUpdBzLqF0k6Yv49GabSHLk4VvxsJ48xLmAvQKh3h72jkKaYctyXADJf76Gun7CdkFIVUsnqKdsBCFlA2ZQ37EWMBwBQQpfP2Y1QCqAs2x378XA6T5kjzotHPlIK8zLYmE58djz9Io7zuAyUiK-Z8xPxSEtaxzver8vg0eYKUjj6P3fcTj0_2p9-ssNGvWTPnB0ivdrOW_b908dv9w_F49fPX-7fPxZYyzIVDRFUDoh6cKgqhM5Z7ITTKJumJtEKrTuohLPaqVblTJMsOxTYVaBdW92yt5e5S5h_rxSTGX1EGgY70bxGo3QrpK7rDDYXEPOfYyBnluBHG05GgDm7NQdzdWvObs8V-Nf6etuxdiP118ZNZgbebICNaAcX7IQ-XjmtZaOlyNyHC0fZyNFTMBE9TUi9D4TJ9LP__2v-ApuBn3s</recordid><startdate>20060501</startdate><enddate>20060501</enddate><creator>Parsanezhad, Mohammad Ebrahim</creator><creator>Alborzi, Saeed</creator><creator>Zarei, Afsoun</creator><creator>Dehbashi, Sedigheh</creator><creator>Shirazi, Lila Ghasempour</creator><creator>Rajaeefard, Abdolreza</creator><creator>Schmidt, Ernst Hienrich</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060501</creationdate><title>Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum</title><author>Parsanezhad, Mohammad Ebrahim ; Alborzi, Saeed ; Zarei, Afsoun ; Dehbashi, Sedigheh ; Shirazi, Lila Ghasempour ; Rajaeefard, Abdolreza ; Schmidt, Ernst Hienrich</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-8ee03f0eed0fc63c0bfacb1f7c5884e19177b031fa7f6960317e52bc1cb307f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical - statistics & numerical data</topic><topic>cervical septum</topic><topic>Cervix Uteri - abnormalities</topic><topic>Cervix Uteri - surgery</topic><topic>Complete uterine septum</topic><topic>Female</topic><topic>Genitalia, Female - abnormalities</topic><topic>Genitalia, Female - surgery</topic><topic>Germany - epidemiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>hysteroscopy</topic><topic>Hysteroscopy - statistics & numerical data</topic><topic>Incidence</topic><topic>Infertility, Female - epidemiology</topic><topic>Iran - epidemiology</topic><topic>Medical sciences</topic><topic>metroplasty</topic><topic>Mullerian Ducts</topic><topic>Risk Assessment - methods</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><topic>Uterine Cervical Incompetence - epidemiology</topic><topic>Uterine Hemorrhage - epidemiology</topic><topic>Uterus - abnormalities</topic><topic>Uterus - surgery</topic><topic>Vagina - abnormalities</topic><topic>Vagina - surgery</topic><topic>vaginal septum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parsanezhad, Mohammad Ebrahim</creatorcontrib><creatorcontrib>Alborzi, Saeed</creatorcontrib><creatorcontrib>Zarei, Afsoun</creatorcontrib><creatorcontrib>Dehbashi, Sedigheh</creatorcontrib><creatorcontrib>Shirazi, Lila Ghasempour</creatorcontrib><creatorcontrib>Rajaeefard, Abdolreza</creatorcontrib><creatorcontrib>Schmidt, Ernst Hienrich</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parsanezhad, Mohammad Ebrahim</au><au>Alborzi, Saeed</au><au>Zarei, Afsoun</au><au>Dehbashi, Sedigheh</au><au>Shirazi, Lila Ghasempour</au><au>Rajaeefard, Abdolreza</au><au>Schmidt, Ernst Hienrich</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2006-05-01</date><risdate>2006</risdate><volume>85</volume><issue>5</issue><spage>1473</spage><epage>1477</epage><pages>1473-1477</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>To determine if sectioning of the cervical septum in hysteroscopic metroplasty of the complete uterine septum is associated with intraoperative bleeding, cervical incompetence, and secondary infertility.
Multicenter, randomized, controlled clinical trial.
University hospitals.
Twenty-eight women with a diagnosis of complete uterine septum who had a history of pregnancy wastage or infertility. They were randomized into two groups: group A underwent metroplasty including section of the cervical septum; group B underwent the same procedure with preservation of the cervical septum.
Hysteroscopic metroplasty was performed for all patients in the two groups.
Operating time, distending media deficit, total distending media used, intraoperative bleeding, complications, and reproductive outcome.
Operating times were 36.40 ± 10.67 minutes and 73 ± 14.40 minutes in group A and group B, respectively. Distending media deficit was 456.66 ± 165.68 mL in group A, while in group B it was 673.84 ± 220.36. Two cases of pulmonary edema and three cases of significant bleeding (>150 mL) were seen in group B. The cesarean section rate was significantly higher in group B. There were no significant differences in the reproductive outcome in the two groups.
Resection of the cervical septum during hysteroscopic metroplasty of complete uterine septum makes the procedure safer, easier, and less complicated than the procedure with preservation of the cervical septum. This procedure is recommended for all cases of complete uterine septum.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16600229</pmid><doi>10.1016/j.fertnstert.2005.10.044</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via ScienceDirect (Elsevier); Alma/SFX Local Collection |
| subjects | Adult Biological and medical sciences Blood Loss, Surgical - statistics & numerical data cervical septum Cervix Uteri - abnormalities Cervix Uteri - surgery Complete uterine septum Female Genitalia, Female - abnormalities Genitalia, Female - surgery Germany - epidemiology Gynecology. Andrology. Obstetrics Humans hysteroscopy Hysteroscopy - statistics & numerical data Incidence Infertility, Female - epidemiology Iran - epidemiology Medical sciences metroplasty Mullerian Ducts Risk Assessment - methods Risk Factors Treatment Outcome Uterine Cervical Incompetence - epidemiology Uterine Hemorrhage - epidemiology Uterus - abnormalities Uterus - surgery Vagina - abnormalities Vagina - surgery vaginal septum |
| title | Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum |
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