World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 3 ( September-December, 2010 ) > List of Articles

REVIEW ARTICLE

Reproductive Performance in Hysteroscopic Metroplasty

Priti Nivendkar

Citation Information : Nivendkar P. Reproductive Performance in Hysteroscopic Metroplasty. World J Lap Surg 2010; 3 (3):131-134.

DOI: 10.5005/jp-journals-10007-1098

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

This study was to ascertain reproductive better outcome in hysteroscopic metroplasty, the literature to support that removal of septum improves pregnancy rates in women with bad obstetric history. However, its role in patients with otherwise unexplained infertility is still not clear due to paucity of enough evidence.

Objective

To assess reproductive performance in women with septate uterus and otherwise unexplained infertility after hysteroscopic metroplasty.

Materials and methods

Eight women with septate uterus and otherwise unexplained primary infertility were included in the study. All these women underwent hysteroscopic septal resection. Reproductive performance of these women within one year of surgery was studied and analyzed.

Result

Forty women (45.83%) conceived within one year of surgery. Only six women (12%) had spontaneous abortions and only five (15%) had preterm delivery.

Conclusion

Hysteroscopic metroplasty in women with septate uterus significantly improves the reproductive performance. Septate uterus is not a primary factor of infertility. Hysteroscopic metroplasty restores normal uterine cavity with a good uterine vascularization to have better reproductive outcome.


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