Office hysteroscopic metroplasty with diode laser for septate uterus: a multicenter cohort study
| Autor: | Aida Gonzalez-Paredes, Jorge Fernandez-Parra, Antonio Simone Laganà, Berta Esteban Manchado, Maite Lopez-Yarto, Sergio Haimovich, Antonio Rodriguez-Oliver, Simone Garzon |
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| Rok vydání: | 2020 |
| Předmět: |
Septate
medicine.medical_specialty Metroplasty metroplasty Hysteroscopy diode laser Cohort Studies 03 medical and health sciences 0302 clinical medicine Pregnancy Recurrent miscarriage medicine Humans Prospective Studies Prospective cohort study Uterine septum uterine septum medicine.diagnostic_test Obstetrics business.industry Uterus medicine.disease Uterine rupture reproductive outcomes 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Female Lasers Semiconductor business Live birth Infertility Female |
| Zdroj: | Minimally invasive therapyallied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy. 31(3) |
| ISSN: | 1365-2931 |
| Popis: | Objective To investigate the effectiveness and safety of office hysteroscopic metroplasty by diode laser for the treatment of septate uteri. Study design We performed a prospective cohort study including 41 nulliparous women diagnosed with septate uterus and a history of primary infertility or recurrent miscarriage. All patients underwent hysteroscopic metroplasty for the treatment of the uterine septum, which was performed in-office setting using a 4.3 mm continuous-flow hysteroscope and a 15-watt diode laser at 1470 nm. Surgical and reproductive outcomes after 2 years of follow-up are reported. Results The procedure was well tolerated by 93% of patients. No surgical complications were reported. Thirty women out of 38 (78.9%) became pregnant: 17 (56.7%) pregnancies were spontaneously conceived, and 13 (43.3%) were obtained with assisted reproductive techniques. Twenty-four (80%) of the 30 pregnant women had a live birth, with a cumulative live birth of 63.2% among the 38 women (95% CI: 45.9-78.2%). There were no cases of post-partum hemorrhage or uterine rupture among 14 (58.3%) women who had vaginal deliveries. Conclusion Office hysteroscopic metroplasty for septate uterus using diode laser appears to be a feasible and safe alternative to other available techniques and has sufficient efficacy in terms of reproductive outcomes to be considered for further investigations. |
| Databáze: | OpenAIRE |
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