title: Metroplasty for the complete septate uterus: does cervical sparing matter?
abstract: OBJECTIVE
  To verify if section of the cervical septum facilitates hysteroscopic metroplasty of a complete septate uterus, and to determine if this technique is associated with intraoperative bleeding or postoperative obstetric complications.
  
  
  METHODS
  Prospective, observational study.
  
  
  METHODS
  Academic department and tertiary care referral center for malformations of the female genital tract.
  
  
  METHODS
  Ten women with complete septate uterus.
  
  
  METHODS
  The cervical portion of the septum was incised with Metzenbaum scissors and the corporeal portion with microscissors under hysteroscopic guidance.
  
  
  RESULTS
  Mean +/- SD operating time for the entire procedure was 24 +/- 7 minutes, with a mean distention fluid deficit of 480 +/- 190 ml. No significant bleeding was encountered during cervical septum incision. At follow-up hysteroscopy, the cervices were competent, and no women experienced second-trimester abortion or premature delivery.
  
  
  CONCLUSIONS
  Section of the cervical septum with scissors is simple, rapid, and safe, facilitates corporeal hysteroscopic metroplasty, and may be considered a valid procedure to correct a completely septate uterus.
authors.affiliation: Clinica Ostetrica e Ginecologica "Luigi Mangiagalli," dell'Universita di Milano, Via Commenda 12, 20122 Milan, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Vercellini
authors.forename: O
authors.initials: O
authors.lastname: De Giorgi
authors.forename: I
authors.initials: I
authors.lastname: Cortesi
authors.forename: G
authors.initials: G
authors.lastname: Aimi
authors.forename: P
authors.initials: P
authors.lastname: Mazza
authors.forename: P G
authors.initials: PG
authors.lastname: Crosignani
mesh_terms: D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy; D011183:Postoperative Complications; D011446:Prospective Studies; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*