title: Hysteroscopic metroplasty improves gestational outcome in women with recurrent spontaneous abortion.
abstract: OBJECTIVE
  To compare the reproductive outcome in women with recurrent spontaneous abortion (RSA) associated with septate uterus after hysteroscopic metroplasty compared with patients who did not undergo surgery.
  
  
  METHODS
  Longitudinal evaluation (Canadian Task Force classification II-2).
  
  
  METHODS
  University of Rome, Tor Vergata-affiliated endoscopic unit.
  
  
  METHODS
  Forty-eight consecutive women with septate uterus and RSA were enrolled in the study.
  
  
  METHODS
  Hysteroscopic metroplasty.
  
  
  RESULTS
  Reproductive outcome in terms of term pregnancy was significantly improved after hysteroscopic metroplasty compared with controls (76% vs. 20%). No differences were found in the prevalence of preterm delivery between groups (4% vs. 5%).
  
  
  CONCLUSIONS
  Our data suggest that hysteroscopic septum incision can improve pregnancy outcome in patients with RSA associated with septate uterus.
authors.affiliation: Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Valli
authors.forename: Elena
authors.initials: E
authors.lastname: Vaquero
authors.forename: Natalia
authors.initials: N
authors.lastname: Lazzarin
authors.forename: Donatella
authors.initials: D
authors.lastname: Caserta
authors.forename: Daniela
authors.initials: D
authors.lastname: Marconi
authors.forename: Errico
authors.initials: E
authors.lastname: Zupi
mesh_terms: D000026:Abortion, Habitual / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery*; D000022:Abortion, Spontaneous / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery*; D000328:Adult; D016022:Case-Control Studies; D016001:Confidence Intervals; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008137:Longitudinal Studies; D008423:Maternal Age; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D012016:Reference Values; D017584:Reproductive History; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery*