Reproductive Outcome Following Hysteroscopic Treatment of Uterine Septum

Esmaeilzadeh, Sedighe; Delavar, Mouloud Agajani; Andarieh, Maryam Ghanbari

doi:10.5455/msm.2014.26.366-371

Cited by 19 publications

(18 citation statements)

References 63 publications

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“…[5][6][7] While Freud A at al, Selvaraj et al, Hollett-Caines J at al, Bakas et al and Esmaeilzadeh et al also found significant improvement in pregnancy rate (70-95%) after the septum resection. [8][9][10][11][12] Lee et al and Nesbitt-Hawes EM et al calculated the conception rate for infertile women with endometriosis after laparoscopic surgery. 13,14 They found overall pregnancy rate 41.9% and 73 % respectively after successful management of the endometriosis.…”

Section: Discussionmentioning

confidence: 99%

Does type of intervention affects the endoscopic procedure outcome in female infertile patients? an experience at a single tertiary care centre

Agrawal¹,

Fayyaz²

2018

Int J Reprod Contracept Obstet Gynecol

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Background: To compare the types of hysterolaparoscopic interventions in female infertile patients and evaluate the outcome in terms of achieving pregnancy at follow up of 12 months.Methods: We prospectively evaluated 157 female-infertile-patients (age range 19-35 years; mean age 27.75 years). During their workup, all underwent hysterolaparoscopy. The detected anatomical abnormalities on hysterolaparoscopy were also tackled at same time if possible. After hysterolaparoscopy, Patients were advised for regular sexual activity. Follow-up of all recruited patients was done for 12 months or till achievement of fetal cardiac activity.Results: Of the 157 female-infertile-patients, 93 (59.2%) were of primary infertility and remaining 64 (41.74%) were secondary infertility patients. Hysterolaparoscopy revealed abnormalities in 125/157 patients. Of the 125 patients with abnormal hysterolaparoscopic findings, 121 underwent active therapeutic interventions. Out of 121 underwent active intervention and 43 patients conceived during next 12 months. Of 121 patients, 81 (66.9%) experienced single type intervention and remaining 40 (33.1%) experienced multiple type of the intervention. Among 81 patients with single type intervention, 28 conceived while 33 patients with multiple type of intervention 15 conceived. There was no statistically significant difference in pregnancy outcome in both groups. When we analyzed independently in primary and secondary infertility patients, similarly there was no significant difference in the pregnancy outcome.Conclusions: We concluded the conception rate was not significantly difference in infertile female patients, who underwent either single or multiple type hysterolaparoscopic intervention. So hysterolaparoscopy interventions should be performed in infertile female patients irrespective of type and extent of pelvic pathologies.

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Section: Discussionmentioning

confidence: 99%

Does type of intervention affects the endoscopic procedure outcome in female infertile patients? an experience at a single tertiary care centre

Agrawal¹,

Fayyaz²

2018

Int J Reprod Contracept Obstet Gynecol

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“…Hysteroscopic resection of a uterine septum with a Nd:YAG laser was performed by Choe in 1992. Fedele and colleagues used an argon laser to resect a uterine septum in 1993 [13,14].…”

Section: Development Of Hysteroscopy In the Second Half Of The 20th Cmentioning

confidence: 99%

Hysteroscopy - history and development

et al. 2019

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Hysteroscopy is the gold standard for diagnosing and managing endocervical and endometrial pathology. The development of today's hysteroscopy begins in the early 19th century. Initially, hysteroscopy was used solely for diagnostics. Operative hysteroscopy surfaced with the development of distension media, the hysteroscope, and its associated instruments. Operative hysteroscopy underwent the most significant development in the early 1970s, when new hysteroscopes were introduced, and the distension media became more widely used. A multitude of hysteroscopic procedures are performed with the common goal of removing pathological changes in the endometrial cavity. In the 1980s, small cameras, also known as "chip" cameras, were developed, leading to the transition of endoscopy into videoendoscopy. Bettocchi revolutionized modern hysteroscopy in 1996 when he used the first operative office hysteroscope. Operative resectoscopes, containing monopolar and bipolar energy, were also constructed. Hysteroscopic morcellators have been in use since the beginning of the 21st century. Today's modern hysteroscopy represents a safe diagnostic and operative endoscopy.

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“…B. Kalpana 1 , Richa Gupta 2 1 HOD (Consultant), Department of Reproductive Medicine, Guru Hospital, Madurai. 2 Junior Consultant, Department of Reproductive Medicine, Guru Hospital, Madurai.…”

Section: Rare Case Reports Of Complete Uterine Septum With Longitudinmentioning

confidence: 99%

“…Kalpana 1 , Richa Gupta 2 1 HOD (Consultant), Department of Reproductive Medicine, Guru Hospital, Madurai. 2 Junior Consultant, Department of Reproductive Medicine, Guru Hospital, Madurai. HOW TO CITE THIS ARTICLE: Kalpana B, Gupta R. Rare case reports of complete uterine septum with longitudinal vaginal septum presenting as didelphic/ unicornuate uterus.…”

Section: Rare Case Reports Of Complete Uterine Septum With Longitudinmentioning

confidence: 99%

Rare Case Reports of Complete Uterine Septum With Longitudinal Vaginal Septum Presenting as Didelphic/ Unicornuate Uterus

Kalpana¹,

Gupta²

2017

jemds

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Reproductive Outcome Following Hysteroscopic Treatment of Uterine Septum

Cited by 19 publications

References 63 publications

Does type of intervention affects the endoscopic procedure outcome in female infertile patients? an experience at a single tertiary care centre

Does type of intervention affects the endoscopic procedure outcome in female infertile patients? an experience at a single tertiary care centre

Hysteroscopy - history and development

Rare Case Reports of Complete Uterine Septum With Longitudinal Vaginal Septum Presenting as Didelphic/ Unicornuate Uterus

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