Hysteroscopic septum resection of complete septate uterus with cervical duplication, sparing the double cervix in patients with recurrent spontaneous abortions or infertility.
OBJECTIVE
To evaluate the safety and efficacy of hysteroscopic septum resection of the complete septate uterus with cervical duplication in patients with recurrent spontaneous abortions or infertility.


METHODS
Prospective consecutive clinical study.


METHODS
University hospital for obstetrics, gynecology, and reproductive medicine.


METHODS
Twenty-five patients with a complete septate uterus, cervical duplication, and history of recurrent spontaneous abortions (13 cases) or infertility (12 cases) were included.


METHODS
Hysteroscopic septum resection and sparing the double cervix using a bougie served as a means of orientation and blockage of internal cervical os.


METHODS
Intraoperative and postoperative complications, and postoperative anatomic identification of the uterus.


RESULTS
No intraoperative and postoperative complications were encountered. Postoperatively, ultrasound revealed minor fundal septal remnants in 7 (31.8%) of 22 patients receiving the ultrasound detection, and no residual septum in the other 15 cases (68.2%).


CONCLUSIONS
By using a bougie technique, hysteroscopic correction of complete septate uterus with cervical duplication and sparing the double cervix can be performed successfully.
Department of Obstetrics and Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou City, Zhejiang Province, People's Republic of China.
Jian-Hua
JH
Wang
Kai-Hong
KH
Xu
Jun
J
Lin
Xue-Zhen
XZ
Chen
D000022:Abortion, Spontaneous / Q000453:epidemiology*; D000328:Adult; D002584:Cervix Uteri / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D007231:Infant, Newborn; D007234:Infant, Premature; D007247:Infertility, Female / Q000601:surgery*; D011247:Pregnancy; D011274:Pregnancy, Tubal; D011446:Prospective Studies; D012008:Recurrence; D014599:Uterus / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*