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Indian Journal of Obstetrics and Gynecology

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Partial Septum of Uterus : Fertility Results of Hysteroscopic Resection

, Precella T. Thomas

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Indian Journal of Obstetrics and Gynecology 5(3 (Supplement)):p 290-290, Jul-Sep 2017. | DOI:

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Abstract

Objective: To evaluate the fertility results after hysteroscopic resection of partial septum of uterus in women who presented with infertility.Methods: During a period of 21 months from 1st October 2015 to 30th June 2017 we had —women who presented to out patient department with history of infertility. Of which 49 women underwent Hysterolaproscopy as part of infertility evaluation. 19 cases were detected to have partial uterine septum and 3 cases had complete septum. Hysteroscopic resection was done during the same sitting. Fertility results of the cases having partial septum are presented here in this study. Results: Diagnostic hysteroscopy was initially performed. If a uterine septum was found, hysteroscopic division of such pathology was performed at the same setting. Among 19 cases of partial septum, 4 cases solid hysteroscopic scissors and operative hysteroscope were used,with normal saline as distension medium. In 15 cases resectoscopic collin’s knife electrode with Glycine 1.5% used as a distension medium.The procedure was considered complete upon achieving a triangular and symmetrical uterine cavity. Among the 19 cases,14 concieved post hysteroscopic resection. Of the 8 women who delivered at term gestation, 5 had vaginal delivery and 3 ceserean section. 2 had first trimester abortions. Rest 4 are in antenatal period, 2 in third trimester and two in 2nd trimester. Conclusion: Aim of metroplasty is to restore a normal anatomy of uterine cavity as a prerequisite for a positive implantation and subsequent good obstetrical outcomes. The hysteroscopic resection with its simplicityand safety has shown improved fertility outcomes in this study.

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