Hysteroscopic metroplasty of the Class Va uterus with preservation of the cervical septum.
OBJECTIVE
To assess the safety and efficacy of hysteroscopic resection of the uterine septum in patients with a Class Va septate uterus.


METHODS
Retrospective clinical study.


METHODS
University outpatient surgical center.


METHODS
Twenty-one patients with Class Va uterus treated between 1985-1998 in the senior author's academic practice.


METHODS
Hysteroscopic metroplasty with preservation of cervical septum.


METHODS
Intraoperative and postoperative complications; postoperative cumulative pregnancy and delivery rates.


RESULTS
No long-term complications were encountered. Fourteen of 15 women who attempted pregnancy postoperatively delivered viable neonates; the 15th is in an ongoing pregnancy.


CONCLUSIONS
Surgical correction of the complete uterine septum with preservation of the cervical septum is associated with low morbidity and satisfactory postoperative obstetric outcome.
Rock
J A
JA
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Roberts
C P
CP
Hesla
J S
JS
D000328:Adult; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007431:Intraoperative Complications; D011183:Postoperative Complications; D011247:Pregnancy; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D016896:Treatment Outcome; D014599:Uterus / Q000601:surgery*