Assessment of Abdominal Ultrasound Guidance in Hysteroscopic Metroplasty

Journal of Minimally Invasive Gynecology
Solène VigoureuxG Legendre

Abstract

To compare the rates of re-intervention, and immediate and later complications associated with abdominal ultrasound-guided versus unguided hysteroscopic metroplasty in the surgical repair of European Society of Human Reproduction and Embryology/European Society for Gynecological Endoscopy class II intrauterine septa. We performed a large observational retrospective study (Canadian Task Force Classification II-2) in a selection of patients who underwent metroplasty in a tertiary university center between 2009 and 2013. A total of 108 patients were included in the study. Patients were categorized as having abdominal ultrasound-guided metroplasty (n = 46) or unguided metroplasty (n = 62). Data were collected with regard to medical and reproductive histories, diagnosis of septate uterus, surgical procedures, and complications. Using these data, the need for re-intervention and complication rates were compared between groups. Statistical analysis was performed using Fisher's exact test and Student's t-test. The characteristics of the 2 groups were comparable. A persistent septum of >10 mm, defined by 3-dimensional ultrasound hysterosonography, with a need for re-intervention, was found in 16 patients (39.0 %) in the unguided group v...Continue Reading

References

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Mar 17, 2015·Journal of Minimally Invasive Gynecology·Valentina GhirardiSimone Ferrero

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Citations

Jul 1, 2017·Obstetrical & Gynecological Survey·Bala BhagavathSteven R Lindheim
May 30, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·M JegadenH Fernandez

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