Obstetric outcome after endoscopic transection of the uterine septum.
OBJECTIVE
To analyze results of endoscopic transection of uterine septum in women with primary infertility and history of recurrent abortion or late abortion.


METHODS
Observational study over 6 years (Canadian Task Force classification II-2).


METHODS
University hospital.


METHODS
Seventy women, 21 with primary infertility, 33 with recurrent abortions, and 16 with late abortion or preterm delivery.


METHODS
Hysteroscopic metroplasty with transection of uterine septum.


RESULTS
Hysteroscopic metroplasty was possibly effective for women with primary infertility, none of whom had had abortions. It was also effective in reducing the early abortion rate and in increasing term deliveries in the group with late abortion.


CONCLUSIONS
Endoscopic transection of uterine septum may improve obstetric outcomes in women with late abortion, decrease abortion rates in those with recurrent abortions, and avoid pregnancy loss for patients with primary infertility.
Service de Gynécologie-Obstétrique, Hôpital A. Béclère, Clamart Cedex, France.
Virginie
V
Doridot
Amélie
A
Gervaise
Sabine
S
Taylor
René
R
Frydman
Hervé
H
Fernandez
D000022:Abortion, Spontaneous / Q000517:prevention & control*; D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D011263:Pregnancy Trimester, Third; D011336:Probability; D018570:Risk Assessment; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*