Rupture utérine obstétricale après hystéroscopie opératoire

Sentilhes, Loïc; Sergent, F.; Berthier, A.; Catala, L.; Descamps, P.; Marpeau, L.

doi:10.1016/j.gyobfe.2006.09.004

Cited by 43 publications

(11 citation statements)

References 39 publications

(70 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Uterine rupture during pregnancy after HS is a very rare complication, with very few cases reported. 16 – 19 In our study, we had 1 case of uterine rupture in a patient in group I at gestational week 37 after uncomplicated hysteroscopic septum resection. Even though perforations that occur during HS are considered to be a risk factor for uterine rupture in subsequent pregnancies, this complication could happen after uncomplicated HS, as in our case.…”

Section: Discussionmentioning

confidence: 96%

“…Even though perforations that occur during HS are considered to be a risk factor for uterine rupture in subsequent pregnancies, this complication could happen after uncomplicated HS, as in our case. 18 , 19 Furthermore, given that HS was performed by using energy devices in most of these cases, the use of electrosurgery can also be regarded as a risk factor for uterine rupture. The weakening of the myometrial tissue caused by the vascular damage that occurs during electrosurgery has been proposed as a cause.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reproductive Outcomes of Hysteroscopic Septoplasty Techniques

Dural

Yaşa

Baştu

et al. 2015

JSLS

View full text Add to dashboard Cite

Background and Objectives:Since little is known regarding the correlation between different techniques used during hysteroscopic septoplasty and reproductives outcomes, we amied to evaluate the results of two different techniques of hysteroscopic septoplasty (HS).Methods:Data were retrospectively reviewed on 49 patients who underwent HS for symptomatic septate uterus from January 1, 2010, through April 30, 2014. The patients were divided into 2 groups based on the HS technique used. Group I consisted of 27 patients who underwent HS by monopolar hook cautery with the operating hysteroscope. Group II consisted of 22 patients who had the procedure performed with scissors and guided by an office hysteroscope. All the procedures in the both groups were performed in the operating room under general anesthesia. Pregnancy outcomes within the first year after HS for both groups were evaluated.Results:Reproductive outcomes were obtained from 44 patients who attempted to conceive after HS within the first year. In the 25 patients in group I, 23 had pregnancies, of which 15 (65.2%) continued to term, 3 (13%) ended in a preterm live birth, and 5 (21.7%) ended in loss of pregnancy (abortion). In the 19 patients in group II, there were 17 pregnancies, of which 11 (64.7%) continued to term, 2 (11.7%) ended in a preterm live birth, and 4 (23.5%) ended in first- or second-trimester abortion. The overall live-birth rate was 78.2% in group I and 76.4% in group II (P = .85).Conclusions:Our data show that the rates of pregnancy that reach term and overall rates of live births are similar between the 2 HS techniques. Additional studies are needed to evaluate the impact of the techniques on reproductive outcomes.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Reproductive Outcomes of Hysteroscopic Septoplasty Techniques

Dural

Yaşa

Baştu

et al. 2015

JSLS

View full text Add to dashboard Cite

show abstract

“…La résection hystéroscopique d'une cloison utérine n'est pas sans effets délétères possibles sur la fertilité et le pronostic obstétrical ultérieur. Elle expose en effet à un risque de synéchie (6,7 %) [31] ; et elle expose les patientes à un risque majoré de rupture utérine obstétricale ultérieure, pendant mais aussi avant travail [4,6,7]. La survenue d'une perforation utérine et/ou l'utilisation de courant de section monopolaire au cours de l'hystéroscopie majorerait ce risque [4,6,7].…”

unclassified

“…Elle expose en effet à un risque de synéchie (6,7 %) [31] ; et elle expose les patientes à un risque majoré de rupture utérine obstétricale ultérieure, pendant mais aussi avant travail [4,6,7]. La survenue d'une perforation utérine et/ou l'utilisation de courant de section monopolaire au cours de l'hystéroscopie majorerait ce risque [4,6,7]. Cependant, des cas bien documentés de rupture utérine avant tout travail ont été décrits chez des patientes dont la septoplastie non compliquée avait été réalisée sous contrôle échographique ou coelioscopique afin de contrôler l'épaisseur du mur utérin restant [32][33][34].…”

unclassified

“…Cependant, des cas bien documentés de rupture utérine avant tout travail ont été décrits chez des patientes dont la septoplastie non compliquée avait été réalisée sous contrôle échographique ou coelioscopique afin de contrôler l'épaisseur du mur utérin restant [32][33][34]. Enfin, malheureusement, l'imagerie (hystéro-salpingographie post-hystéroscopie opératoire, monitorage échographique pendant la grossesse), un long intervalle entre la septoplastie et la grossesse, et la réalisation d'une césarienne élective ne sont pas efficaces pour détecter et prévenir les possibles ruptures utérines ultérieures [4,7]. De plus, de façon non étonnante chez ces patientes ayant une cicatrice utérine, des cas d'anomalies de la placentation, en particulier de placenta accreta, ont été décrits chez les patientes ayant comme antécédent une septoplastie [35,36].…”

unclassified

See 1 more Smart Citation