Reproductive Outcome Following Hysteroscopic Treatment of the Septate Uterus : A Result of 28 Cases at Ramathibodi Hospital
SANGCHAI PREUTTHIPAN, M.D.*,
V ASANT LINASMITA, M.D., F.A.C.O.G.*,
Affiliation : * Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok
10400, Thailand.
AbstractWe reported the reproductive outcome of 28 patients with septate uterus who
underwent hysteroscopic metroplasty between August 1994 and October 1999 at Ramathibodi
Hospital. The majority of septa were partial. Most of the patients had recurrent pregnancy
losses. Division of the septum was performed with scissors in 7, a new device of Versapoint
bipolar electrode in 10, and by means of resectoscope in 11 patients. The operating time
varied from 45 to 70 minutes with an average time of 50±5.5 minutes which included
the time for laparoscopy. The blood loss during the operation was minimal. All 28 patients
were discharged a few hours after the operation. There were no serious complications
attributed to this study. Most of the patients had minor spotting but no significant bleeding
for a few days after hysteroscopic surgery. Of the 28 patients, 4 patients have not tried to
conceive because of personal reasons, and the other 5 patients were lost to follow-up. Fifteen
patients who had postoperative hysterosalpingograms, demonstrated a normal uterine cavity.
There were a tota~ of 20 pregnancies after a mean period of 24±1.4 (range 6-42) months
following hysteroscopic treatment, of which 15(75.0%) were carried to term, 3(15.0%) were
spontaneous abortions, and 2(1 0.0%) are in progress. The rate of pregnancy wastage in the
post-treatment group was 15 per cent compared with 96.3 per cent in the pretreatment
group.
Keywords : Hysteroscopy, Metroplasty, Septate Uterus
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