[Management of ten patients with complete septate uterus: hystersocopic section of and obstetrical outcome].
BACKGROUND
Septate uterus is the principal müllerian anomaly, but complete septate uterus is uncommon and often associated with frequent obstetrical complications. Surgical section of the septum is however possible.


METHODS
We report patients with a complete septum uterus operated in our department between 2002 and 2006. We performed a hysteroscopic section of the cervical, uterine and vaginal septum at discovery of the anomaly. The accuracy of imaging exams, frequency of associated malformations, past obstetrical events and reproductive outcome post surgery were analyzed.


RESULTS
The surgical technique was based on section of the cervical part with scissors and hysteroscopic section of the uterine septum; no perforation was noted. Four patients required a second procedure to achieve complete uterine section. Five patients became pregnant after surgery, 8 pregnancies are reported: 2 term delivery, 1 preterm delivery, 4 miscarriages and 1 ectopic pregnancy.


CONCLUSIONS
Complete surgical section of the cervical and uterine septum in case of complete septum uterus is safe. However, we cannot conclude about the obstetrical benefit of this surgical technique. A longer follow-up is needed.
Le Ray
C
C
Service de Gynécologie Obstétrique, Hôpital Antoine-Béclère (AP-HP), 157, rue de la Porte-de-Trivaux, 92140 Clamart.
Donnadieu
A-C
AC
Gervaise
A
A
Frydman
R
R
Fernandez
H
H
D000328:Adult; D002584:Cervix Uteri / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D010535:Laparoscopy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D012189:Retrospective Studies; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery