Diode Laser Hysteroscopic Metroplasty for Dysmorphic Uterus: a Pilot Study

Bilgory, Asaf; Shalom-Paz, Einat; Atzmon, Yuval; Aslih, Nardin; Shibli, Y; Estrada, Daniela; Haimovich, Sergio

doi:10.1007/s43032-021-00607-1

Cited by 4 publications

(11 citation statements)

References 30 publications

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“…Hysteroscopy is a valuable diagnostic and treatment tool that can remove small uterine lesions and restore the shape of the uterine cavity in patients with uterine lesions. Correction of the T-shaped uterus was related to high live birth rates and low miscarriage rates in patients with both primary infertility and recurrent miscarriage ( 256 , 257 ). Although outpatient hysteroscopy did not improve IVF outcomes in patients with RIF with normal ultrasound of the uterine cavity, which may be due to the high proportion of normal uterine cavity ( 258 ).…”

Section: Discussionmentioning

confidence: 99%

Recurrent implantation failure: A comprehensive summary from etiology to treatment

Gao

2023

Front. Endocrinol.

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Implantation is the first step in human reproduction. Successful implantation depends on the crosstalk between embryo and endometrium. Recurrent implantation failure (RIF) is a clinical phenomenon characterized by a lack of implantation after the transfer of several embryos and disturbs approximately 10% couples undergoing in vitro fertilization and embryo transfer. Despite increasing literature on RIF, there is still no widely accepted definition or standard protocol for the diagnosis and treatment of RIF. Progress in predicting and preventing RIF has been hampered by a lack of widely accepted definitions. Most couples with RIF can become pregnant after clinical intervention. The prognosis for couples with RIF is related to maternal age. RIF can be caused by immunology, thrombophilias, endometrial receptivity, microbiome, anatomical abnormalities, male factors, and embryo aneuploidy. It is important to determine the most possible etiologies, and individualized treatment aimed at the primary cause seems to be an effective method for increasing the implantation rate. Couples with RIF require psychological support and appropriate clinical intervention. Further studies are required to evaluate diagnostic method and he effectiveness of each therapy, and guide clinical treatment.

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Section: Discussionmentioning

confidence: 99%

Recurrent implantation failure: A comprehensive summary from etiology to treatment

Gao

2023

Front. Endocrinol.

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“…The study selection process is displayed in Figure 1. After the evaluation of the full texts, a total of eight papers [9][10][11][38][39][40][41][42] that met the abovementioned inclusion criteria were included in the present systematic review.…”

Section: Study Selectionmentioning

confidence: 99%

“…The main characteristics of the included studies are summarized in Table 1. Only one retrospective study included prospective follow-up [11]. The other seven studies were prospective and included one randomized controlled trial (RCT) [9], three pilot studies [38][39][40], one multicenter prospective cohort study [10], one prospective cohort study [42] and one case report [41].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The other seven studies were prospective and included one randomized controlled trial (RCT) [9], three pilot studies [38][39][40], one multicenter prospective cohort study [10], one prospective cohort study [42] and one case report [41]. Of these, four studies were from Italy [39][40][41][42], three from Spain [9,10,38] and one from Israel [11].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Due to these wavelengths, the diode laser achieves high simultaneous absorption by hemoglobin and water, providing hemostatic properties and thus offering high ablation and vaporization capabilities [7,8]. The diode laser results in significantly greater hemostasis than does the less-modern CO 2 laser, and its thermal penetration is lower than that of the Nd-YAG laser, enabling the implementation of a precise and safe procedure [9][10][11][12]. Its use can be extended to laparoscopic or hysteroscopic gynecologic surgery.…”

Section: Introduction 1backgroundmentioning

confidence: 99%

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Use of Diode Laser in Hysteroscopy for the Management of Intrauterine Pathology: A Systematic Review

Etrusco,

Buzzaccarini,

Laganà

et al. 2024

Diagnostics

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Background: Hysteroscopy currently represents the gold standard for the diagnosis and treatment of intrauterine pathologies. Recent technological progress has enabled the integration of diagnostic and operative time, leading to the “see and treat” approach. Diode laser technology is emerging as one of the most innovative and intriguing techniques in this context. Methods: A comprehensive search of the literature was carried out on the main databases. Only original studies reporting the treatment of intrauterine pathologies using diode laser were deemed eligible for inclusion in this systematic review (PROSPERO ID: CRD42023485452). Results: Eight studies were included in the qualitative analysis for a total of 474 patients undergoing laser hysteroscopic surgery. Eighty-three patients had female genital tract abnormalities, 63 had submucosal leiomyomas, 327 had endometrial polyps, and one patient had a scar pregnancy. Except for leiomyomas, whose technique already included two surgical times at the beginning, only seven patients required a second surgical step. Cumulative rates of intraoperative and postoperative complications of 2.7% and 0.6%, respectively, were reported. Conclusions: Diode laser through “see and treat” hysteroscopy appears to be a safe and effective method. However, additional studies with larger sample sizes and improved designs are needed to consolidate the evidence currently available in the literature.

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Diode laser use in hysteroscopic surgery: current status and future perspectives

Vitale

Mikuš

Angelis

et al. 2023

Minimally Invasive Therapy & Allied Technologies

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Diode Laser Hysteroscopic Metroplasty for Dysmorphic Uterus: a Pilot Study

Cited by 4 publications

References 30 publications

Recurrent implantation failure: A comprehensive summary from etiology to treatment

Recurrent implantation failure: A comprehensive summary from etiology to treatment

Use of Diode Laser in Hysteroscopy for the Management of Intrauterine Pathology: A Systematic Review

Diode laser use in hysteroscopic surgery: current status and future perspectives

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