| Autor: |
U, Catena, R, Campo, G, Bolomini, M C, Moruzzi, V, Verdecchia, F, Nardelli, I, Romito, F, Camolo, V, La Manna, M M, Ianieri, G, Scambia, A C, Testa |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Facts, Views & Vision in ObGyn |
| ISSN: |
2032-0418 |
| Popis: |
T-shaped uterus is a congenital uterine malformation (CUM), only recently defined by the ESGE ESHRE classification as Class U1a. The uterus is characterised by a narrow uterine cavity due to thickened lateral walls with a correlation 2/3 uterine corpus and 1/3 cervix. Although the significance of this dysmorphic malformation on reproductive performance has been questioned, recent studies reported significant improvement of life birth rates after surgical correction in patients with failed in-vitro fertilisation (IVF) or recurrent miscarriage. The classical surgical technique to treat a T-shaped uterus is by performing a sidewall incision with the micro scissor or bipolar needle, resulting in a triangular cavity. In this video article, we describe a new surgical technique with a step-by-step method combining three- dimensional ultrasound (3D-US) and hysteroscopic metroplasty in an office setting, using a 15 Fr office resectoscope (Karl Storz, Tuttlingen, Germany), to treat a T-shaped uterus by resecting the lateral fibromuscular tissue of the uterine walls. No complications occurred and the postoperative hysteroscopy showed a triangular and symmetrical uterine cavity without any adhesions. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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