Hysteroscopic Metroplasty Improves Gestational Outcome in Women with Recurrent Spontaneous Abortion

Valli, E; Vaquero, E.; Lazzarin, Natalia; Caserta, Donatella; Marconi, Daniela; Zupi, Errico

doi:10.1016/s1074-3804(05)60206-x

Cited by 54 publications

(42 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies have shown that hysteroscopic resection of the septum in a septate uterus improves pregnancy outcome in subsequent pregnancies in women with recurrent miscarriages (Porcu et al, 2000;Saygili-Yilmaz et al, 2003;Valli et al, 2004). Hysteroscopic adhesiolysis also improves pregnancy outcome in women with recurrent miscarriages (Goldenberg et al, 1995;Katz et al, 1996).…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopy may be justified after two miscarriages

Weiss¹,

Shalev²,

Romano³

2005

Human Reproduction

View full text Add to dashboard Cite

BACKGROUND: Recurrent pregnancy loss is traditionally investigated after three or more consecutive pregnancy losses. Although there is a trend to start investigation after two miscarriages, data are not available to date to justify this approach. We sought to compare the frequency of uterine anomalies between women referred to hysteroscopy for repeated miscarriages after two, and three or more, miscarriages respectively. METHODS: A retrospective analysis of acquired and congenital uterine anomalies in all patients undergoing hysteroscopy for repeated pregnancy loss at an academic and referral medical centre. RESULTS: Hysteroscopy was performed on 165 women referred for recurrent pregnancy loss: 67 after two and 98 after three or more consecutive miscarriages. The rate of uterine anomalies did not differ significantly and was 32 versus 28% respectively. CONCLUSIONS: Hysteroscopy may be justified following two spontaneous pregnancy losses.

show abstract

Section: Discussionmentioning

confidence: 99%

Hysteroscopy may be justified after two miscarriages

Weiss¹,

Shalev²,

Romano³

2005

Human Reproduction

View full text Add to dashboard Cite

show abstract

“…All of those cases were managed by hysteroscopicadhesiolysis, which would help improve their pregnancy outcome. Valli et al, also concluded that the role of hysteroscopy in lysing the intrauterine adhesions would improve pregnancy outcome in patients having recurrent miscarriages [19]. In concordance, Bouet PE et al confirmed that office hysteroscopy is a useful tool in the management of women with recurrent pregnancy loss, preferably when complemented by a biopsy from the endometrium to diagnose chronic endometritis [20].…”

Section: Discussionmentioning

confidence: 91%

Recurrent Miscarriage: Hysteroscopy-Assisted Management

Moiety¹,

Agameya²,

Saleh³

2018

OJOG

View full text Add to dashboard Cite

Objective: To apply office hysteroscopy in assessment/management of patients with recurrent miscarriage, thus to/or not to recommend office hysteroscopy as a routine procedure in such cases. Study design: Retrospective analysis. Setting: University hospital's outpatient abortion clinic. Subjects & Methodology: Patients' records during the period between March 2015 and January 2017 for subjects with at least 2 previous miscarriages, who had undergone office hysteroscopy were reviewed. Results: Cases with 2 previous miscarriages (n = 95) were assessed and compared with those with 3 or more miscarriages (n = 105). Abnormal uterine findings were diagnosed in 24.1% of the former, and 43.8% of the latter group. The prevalence of uterine lesions among cases with 2 recurrent miscarriages was 42.1%; meanwhile, for subjects with 3 or more consecutive miscarriages, it was 43.8%. Conclusion: In addition to safety profile, simplicity and outpatient basis of use, outpatient hysteroscopy in recurrent miscarriages would be an added-value to practitioners as a diagnostic and therapeutic tool.

show abstract

“…One suggestion was the poor blood supply to the septum which may lead to poor implantation dynamics [10,11]. Moreover, foetal loss may be due to the septal space-occupying effect and impaired placentation can cause foetal growth restriction [12].…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopic Evaluation of the Uterine Cavity in Women with First-Trimester Missed Miscarriage: Case Series

Altraigey¹,

Nosseir²,

Abbas³

et al. 2017

Journal of Gynecology Research

View full text Add to dashboard Cite

The aim of this study was to identify the value of hysteroscopy in detection of the relationship between missed miscarriage and intrauterine pathologies. The study was held at the Department of Obstetrics and Gynaecology, Benha University. It included 90 women with 1 st trimester missed miscarriage who were examined by diagnostic hysteroscopy immediately before dilatation and curettage (D&C) and 6-8 weeks after D&C (second look hysteroscopy). Incomplete uterine septum was found in 22.2% of cases; 70% of them had a previous history of missed miscarriage. Intrauterine adhesions were found in 6.7% of cases before D&C and in 16.7% after D&C. In cases of missed miscarriage either before or after D&C, hysteroscopy is an easy and effective tool for diagnosis of the site of the sac and the presence of intrauterine pathology.Abstract

show abstract

Hysteroscopic Metroplasty Improves Gestational Outcome in Women with Recurrent Spontaneous Abortion

Cited by 54 publications

References 14 publications

Hysteroscopy may be justified after two miscarriages

Hysteroscopy may be justified after two miscarriages

Recurrent Miscarriage: Hysteroscopy-Assisted Management

Hysteroscopic Evaluation of the Uterine Cavity in Women with First-Trimester Missed Miscarriage: Case Series

Contact Info

Product

Resources

About