Tactile cold scissor metroplasty as a novel backup method for hysteroscopic metroplasty.
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.
El Saman
Ali M
AM
Department of Obstetrics & Gynecology, Women's Health University Center, Faculty of Medicine, Assiut University, Assiut, Egypt. ali_elsaman@yahoo.com
Darwish
Atef M
AM
Zakherah
Mahmoud S
MS
Hamed
Hossam O
HO
Bedaiwy
Mohamed A
MA
Nasr
Ahmed M
AM
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