We compared the duration of surgery, blood loss, and complications between patients in whom both uterine arteries were ligated at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom ligation was done after cornual pedicle. Using a prospective study in a gynecologic laparoscopic center, a total of 52 women who underwent TLH from June 2013 to January 2014 were assigned into two groups. In group A, uterine arteries were ligated after the cornual pedicles as done conventionally. In group B, TLH was done by ligating both uterine arteries at the beginning of the procedure. All the other pedicles were desiccated using harmonic scalpel or bipolar diathermy. Uterus with cervix was removed vaginally or by morcellation. The indication for TLH was predominantly dysfunctional uterine bleeding and myomas in both groups. In group A, the average duration of surgery was 71 minutes, when compared to 60 minutes in group B (P < 0.001). In group A, the total blood loss was 70 mL, when compared to 43#x2009;mL in group B (P value < 0.001). There were no major complications in both groups. To conclude, prior uterine artery ligation at its origin during TLH reduces the blood loss and surgical duration as well as the complications during surgery.

Aim: The aim of the present study was to assess the safety and efficacy of hysteroscopic septum resection by Versapoint and future fertility outcome. 105 subfertile patients who underwent hysteroscopic septum resection using the Bipolar Versapoint system were analysed. Methods: Hysteroscopic Metroplasty was performed on 105 patients with uterine septum and history of infertility. The metroplasty procedure was performed on 105 patients using versapoint. The outcome was evaluated based on fertility outcomes. Study Design: Retrospective study Results: The pregnancy rates were noted to be around 96.5% following the procedure and live birth rate were around 82%. Conclusion: Hysteroscopic metroplasty using Bipolar Versapoint had better fertility outcomes and less risks. Future fertility and live birth rates had significantly improved.DOI: http://dx.doi.org/10.3126/ajms.v6i3.10904Asian Journal of Medical Sciences Vol.6(3) 2015 63-65

AIM OF THE STUDY:

Aim:To evaluate the effect of intrauterine injection of 500 IU hCG before embryo transfer in patients with previous ICSI failure. Background:The implantation process is the most important part of pregnancy, a lot of factors are responsible for implantation, it is well known that majority of pregnancies are lost during the implantation phase and often is undetected. It is known that hCG has an important function in angiogenesis and reduces the inflammatory response which in turn favor the implantation process. hCG is secreted early during the pregnancy, hence plays an important role.Methods: A prospective randomized study was conducted in Radhakrishna Multispecialty Hospital and IVF Centre, Bengaluru, India. Total patients for ICSI cycle was 83(n). Out of which 32 patients were recruited in this study. The study group (n = 16) received intrauterine administration of 500 IU hCG before ET. The control group (n = 16) underwent ET without hCG. Results:In both the groups, the mean age of the patients was around 29, the estradiol level mean was around 2569 ± 895 and in control group around 2467 ± 906. It was noted that fertilization rate in test group was around 88% and in control group around 75% hence showing that injection hCG proved its beneficial. It was noted that maximum embryos was from nondonor in test group, donor fresh embryos were around 3. Conclusion:The intrauterine injection of 500 IU hCG before embryo transfer statistically improved the implantation rates and pregnancy rates with good outcome.

Introduction Advanced fertilization techniques like frozen embryo transfer (FET) and assisted reproductive technology have become popular and commonly used methods to treat patients suffering from infertility.Incidences of infertility are on a rise due to increased representation of females in the work place, delay in marriages, stress, and ignorance. Methods We performed this prospective therapeutic study to compare FET and fresh embryo transfer in the treatment of infertility in terms of conception rate, patient acceptance, complications, and patient's compliance. A prospective screening therapeutic study on 108 patients, from September 2013 to September 2014 in Karnataka, India, randomized the patients into 2 groups (n = 54), Group-I treated with day-3 FET while Group-II was treated with fresh embryo transfer, after performing ICSI. Results In 108 patients, 45 % patients were within 35 years of age, 35 % were in the age group 35-39. Significantly, 22 (40.75 %) patients treated with FET conceived (P = 0.022), whereas 16 (29.63 %) patients treated with fresh embryo transfer conceived (P = 0.59).