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Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus
Oleh:
Fernandez, Herve
;
Garbin, Olivier
;
Castaigne, Vanina
;
Gervaise, Amelie
;
Levaillant, Jean-Marc
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Human Reproduction vol. 26 no. 07 (Jul. 2011)
,
page 1730-1734.
Topik:
GYNAECOLOGY
;
Metroplasty
;
T-Shaped Uterus
;
DES
;
Hysteroscopy
Ketersediaan
Perpustakaan FK
Nomor Panggil:
H07.K.2011.01
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
BACKGROUND The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus. METHODS The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hysteroscopy 2 months afterwards to assess the success of the procedure and determine whether any synechiae were present. RESULTS Forty-eight women (49.5%) became pregnant after metroplasty. The overall live birth rate per pregnancy before surgery was 0%; for these patients, it increased to 73%, and their miscarriage rate fell from 78 to 27% (P < 0.05). For all 57 pregnancies in 48 women, the ectopic pregnancy rate was 9% (n = 5), the miscarriage rate 28% (n = 16), the preterm delivery rate 14% (n = 8), the term delivery rate 49% (n = 28) and the live birth rate was 63% (n = 36). CONCLUSIONS Hysteroscopic metroplasty improves the live birth rate for women with a T-shaped uterus and a history of primary infertility, recurrent abortion or preterm delivery, although it is not a treatment of infertility.
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