title: Hysteroscopic transcervical resection of uterine septum.
abstract: OBJECTIVE
  To explore the method of diagnosis for uterine septum and the clinical effect of hysteroscopic transcervical resection of the septum.
  
  
  METHODS
  One-hundred ninety cases of patients with uterine septum who were diagnosed and treated at our hospital during 2007-2011 were selected, and their general information, perioperative status, postoperative recovery treatment, and postoperative pregnancy rates were statistically analyzed.
  
  
  RESULTS
  All 190 patients were cured with one surgery, with an average hysteroscopic operating time of 22.60 ± 10.67 minutes and intraoperative blood loss of 15.74 ± 9.64 mL. There were no complications such as uterine perforation, water intoxication, infection, or heavy bleeding. Among the 115 patients that we followed up, 86 became pregnant and delivered infants, 81 of which were born at term and 5 that were born premature.
  
  
  CONCLUSIONS
  The combination of hysteroscopy and laparoscopy is still the most reliable method for the diagnosis of uterine septum. With a shorter operative time, less blood loss, a significantly increased postoperative pregnancy rate and live birth rate, and a significantly lower spontaneous abortion rate, transcervical resection of the septum was the preferred method for the treatment of uterine septum, and surgical instruments and skills were critical to the prognosis of uterine septum.
authors.affiliation: State Key Laboratory of Reproductive Medicine, Department of Gynecological Endoscope, Nanjing Maternity and Child Health Care Hospital Affiliated to Nanjing Medical University, Nanjing, China; Department of Gynecological Endoscope, Nanjing Maternity and Child Health Care Hospital Affiliated to Nanjing Medical University, Nanjing 210029, China. wang_sumin@hotmail.com.
authors.forename: Sumin
authors.initials: S
authors.lastname: Wang
authors.affiliation: State Key Laboratory of Reproductive Medicine, Department of Gynecological Endoscope, Nanjing Maternity and Child Health Care Hospital Affiliated to Nanjing Medical University, Nanjing, China.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Shi
authors.affiliation: State Key Laboratory of Reproductive Medicine, Department of Gynecological Endoscope, Nanjing Maternity and Child Health Care Hospital Affiliated to Nanjing Medical University, Nanjing, China.
authors.forename: Xiangdong
authors.initials: X
authors.lastname: Hua
authors.affiliation: State Key Laboratory of Reproductive Medicine, Department of Gynecological Endoscope, Nanjing Maternity and Child Health Care Hospital Affiliated to Nanjing Medical University, Nanjing, China.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Gu
authors.affiliation: State Key Laboratory of Reproductive Medicine, Department of Gynecological Endoscope, Nanjing Maternity and Child Health Care Hospital Affiliated to Nanjing Medical University, Nanjing, China.
authors.forename: Dazhen
authors.initials: D
authors.lastname: Yang
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*