title: Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum.
abstract: OBJECTIVE
  To determine if sectioning of the cervical septum in hysteroscopic metroplasty of the complete uterine septum is associated with intraoperative bleeding, cervical incompetence, and secondary infertility.
  
  
  METHODS
  Multicenter, randomized, controlled clinical trial.
  
  
  METHODS
  University hospitals.
  
  
  METHODS
  Twenty-eight women with a diagnosis of complete uterine septum who had a history of pregnancy wastage or infertility. They were randomized into two groups: group A underwent metroplasty including section of the cervical septum; group B underwent the same procedure with preservation of the cervical septum.
  
  
  METHODS
  Hysteroscopic metroplasty was performed for all patients in the two groups.
  
  
  METHODS
  Operating time, distending media deficit, total distending media used, intraoperative bleeding, complications, and reproductive outcome.
  
  
  RESULTS
  Operating times were 36.40 +/- 10.67 minutes and 73 +/- 14.40 minutes in group A and group B, respectively. Distending media deficit was 456.66 +/- 165.68 mL in group A, while in group B it was 673.84 +/- 220.36. Two cases of pulmonary edema and three cases of significant bleeding (> 150 mL) were seen in group B. The cesarean section rate was significantly higher in group B. There were no significant differences in the reproductive outcome in the two groups.
  
  
  CONCLUSIONS
  Resection of the cervical septum during hysteroscopic metroplasty of complete uterine septum makes the procedure safer, easier, and less complicated than the procedure with preservation of the cervical septum. This procedure is recommended for all cases of complete uterine septum.
authors.affiliation: Referral GYN Endoscopy Centers, Department of Obstetrics and Gynecology, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran. parsame@sums.ac.ir
authors.forename: Mohammad Ebrahim
authors.initials: ME
authors.lastname: Parsanezhad
authors.forename: Saeed
authors.initials: S
authors.lastname: Alborzi
authors.forename: Afsoun
authors.initials: A
authors.lastname: Zarei
authors.forename: Sedigheh
authors.initials: S
authors.lastname: Dehbashi
authors.forename: Lila Ghasempour
authors.initials: LG
authors.lastname: Shirazi
authors.forename: Abdolreza
authors.initials: A
authors.lastname: Rajaeefard
authors.forename: Ernst Hienrich
authors.initials: EH
authors.lastname: Schmidt
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data*; D002584:Cervix Uteri / Q000002:abnormalities / Q000601:surgery; D005260:Female; D005836:Genitalia, Female / Q000002:abnormalities* / Q000601:surgery*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015907:Hysteroscopy / Q000706:statistics & numerical data*; D015994:Incidence; D007247:Infertility, Female / Q000453:epidemiology*; D007492:Iran / Q000453:epidemiology; D009095:Mullerian Ducts; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D016896:Treatment Outcome; D002581:Uterine Cervical Incompetence / Q000453:epidemiology*; D014592:Uterine Hemorrhage / Q000453:epidemiology*; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000601:surgery