Resection of uterine septum using gynaecoradiological techniques. |
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Authors: | V C Karande N Gleicher |
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Institution: | Division of Gynecoradiology, the Center for Human Reproduction, Illinois, the Foundation for Reproductive Medicine, Chicago 60610, USA. |
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Abstract: | This paper presents further refinements in our technique for the resection of uterine septum. Fourteen patients infertility (n = 9) and recurrent miscarriages (n = 5)] underwent in-office resection of a uterine septum under fluoroscopic control. The main outcome measure was complete resection of uterine septum. Resections were carried out using either hysteroscopic scissors in combination with a specially designed uterine balloon catheter, or microlaparoscopy scissors in conjunction with a cervical cannula. In all patients the septum was successfully resected without any intra-operative complications. We conclude that ambulatory gynaecoradiological resection of uterine septa is a safe and simple procedure. It avoids utilization of expensive operating room time, general anaesthesia, and some complications associated with hysteroscopic resection, such as fluid retention and electrolyte imbalance. |
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Keywords: | gynaecoradiology/infertility/recurrent miscarriages/uterine septum resection |
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