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- Title
Reproductive outcome following hysteroscopic septal resection in patients with infertility and recurrent abortions.
- Authors
Roy, K.; Singla, S.; Baruah, J.; Kumar, S.; Sharma, J.; Karmakar, D.
- Abstract
Objectives: To evaluate the outcome of hysteroscopic septal resection in patients with infertility and recurrent abortions. Materials and methods: This was a retrospective clinical analysis of 170 patients who underwent hysteroscopic septal resection by monopolar electrode (Collin's) knife. A second-look office hysteroscopy was performed in all cases within 2 months. The mean follow-up period was 28.5 months. Results: The mean age of the patients was 25.6 years. The presenting clinical complaint was recurrent abortions in 68.2% patients, infertility in 17.6% patients and preterm deliveries in 14.1% patients. Final reproductive outcome was assessed for 152 patients, after excluding patients with other confounding factors, interfering in pregnancy outcome. There was a significant difference in reduction of number of miscarriages (91.5% pre-surgery; 12.9% post-surgery: p = 0.02) and increase in term deliveries (2.5% pre-surgery; 79.5% post-surgery: p = 0.01), while the number of preterm deliveries remained almost the same (6.1% pre-surgery; 7.5% post-surgery). Thirteen out of 23 infertile patients (56.5%) conceived after septal resection. The take home baby rate was increased from 8.5 to 87.1%. Cumulative first live birth rate revealed that 51.2% women had their first live birth within 10-15 months. There was an increased incidence (43.2%) of cesarean section in mode of delivery. In 11/170 patients, repeat hysteroscopy suggested the presence of uterine adhesions which needed hysteroscopic adhesiolysis and three patients required repeat septal resection. Conclusions: Hysteroscopic septal resection for women with history of recurrent abortions, preterm deliveries and in women with infertility is a safe and effective method of choice for improving the obstetric outcome.
- Subjects
UTERUS abnormalities; FEMALE infertility; RECURRENT miscarriage; HYSTEROSCOPY; RETROSPECTIVE studies; PREMATURE infants; DELIVERY (Obstetrics)
- Publication
Archives of Gynecology & Obstetrics, 2011, Vol 283, Issue 2, p273
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-009-1336-1