title: Tactile cold scissor metroplasty as a novel backup method for hysteroscopic metroplasty.
abstract: OBJECTIVE
  To study the operative, anatomic, and functional outcome of tactile cold scissor metroplasty (TCSM) as a backup method for hysteroscopic metroplasty.
  
  
  METHODS
  Case series with description of the technique.
  
  
  METHODS
  Assiut University Women's Health Center.
  
  
  METHODS
  Three cases with failed hysteroscopic metroplasty out of 127 cases with uterine septa scheduled for hysteroscopic resection.
  
  
  METHODS
  The TCSM procedure was performed in three cases under direct laparoscopic monitoring.
  
  
  METHODS
  Operative time, complications, hysteroscopic appearance of the cavity, reproductive outcome, and reintervention rates.
  
  
  RESULTS
  The TCSM procedure was performed successfully in the three cases with a short total operative time (10-12 minutes). Subsequent office hysteroscopic appearance was satisfactory. Patients were then followed up for a period of time ranging from 3 to 28 months. One case had a successful pregnancy outcome, one has an ongoing pregnancy, and the last one did not get pregnant so far.
  
  
  CONCLUSIONS
  Tactile cold scissor metroplasty is a useful, safe, and effective backup procedure for hysteroscopic metroplasty.
authors: Department of Obstetrics & Gynecology, Women's Health University Center, Faculty of Medicine, Assiut University, Assiut, Egypt. ali_elsaman@yahoo.com
authors: Ali M
authors: AM
authors: El Saman
authors: Atef M
authors: AM
authors: Darwish
authors: Mahmoud S
authors: MS
authors: Zakherah
authors: Hossam O
authors: HO
authors: Hamed
authors: Mohamed A
authors: MA
authors: Bedaiwy
authors: Ahmed M
authors: AM
authors: Nasr
mesh_terms: D000328:Adult; D003080:Cold Temperature; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008954:Models, Biological; D046709:Pattern Recognition, Physiological / Q000502:physiology*; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D016879:Salvage Therapy; D013525:Surgical Instruments; D013997:Time Factors; D017211:Treatment Failure; D016896:Treatment Outcome; D014599:Uterus / Q000601:surgery