Abstract
ABSTRACT
We present the results of hysteroscopic septum resection of 59 patients, including the technique used, complications, postoperative follow-up, and pregnancy results, at the Dr. Zekai Tahir Burak Women's Hospital and Social Security Association Hospital, Ankara, Turkey. Fifty-nine patients underwent hysteroscopic division of the uterine septum monitored by concomitant laparoscopy. All procedures were performed under general anesthesia. The uterine cavity was distended with 1.5% glycine, and electrosurgery was used for incision of the septa. Recurrent abortion and primary infertility were the main indications for septum resection. An intrauterine device was applied, and sequential estrogen + progesteron therapy was given for 1 month in all patients. The procedure was carried out successfully in most of the cases. This was verified by hysterosalpingography performed 1 month after the operation. Four patients required a second hysteroscopic operation because a partial residual septum was observed on the posttreatment hysterogram. There were a total of 25 pregnancies after a mean period of 18 months following the procedure, of which 16 (64%) were carried to term, 4 (16%) ended with spontaneous abortion, and 5 (20%) are ongoing. Hysteroscopic metroplasty using electrosurgery is a safe and effective procedure for the treatment of the uterine septum. It has few complications and satisfactory pregnancy results. (J GYNECOL SURG 12:241, 1996)
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