title: [Hysteroscopic septoplasty: after miscarriages?].
abstract: OBJECTIVE
  To assess reproductive outcome of women affected by septate uterus after surgical correction.
  
  
  METHODS
  It is a retrospective study. The setting is a French university hospital. Surgery was performed on 66 patients between 2000 and 2010. Hysteroscopic metroplasty was performed in every group once the diagnosis was made. There were two groups: 35 patients affected by septate uterus had past history of miscarriages, preterm and term deliveries. Thirty-six patients had never been pregnant.
  
  
  RESULTS
  In the group of 35 patients with a previous obstetric history, the rate of miscarriages was 57.1% before surgery and 10% after surgery. There was a significant gain of live birth ratio of 55% among women being pregnant after surgery compared to women being pregnant before surgery. For patients with no pregnancy before surgery, obstetrical results are the following ones: miscarriages 25.9%, preterm deliveries 11% and term deliveries 59.3%.
  
  
  CONCLUSIONS
  Hysteroscopic septoplasty is an easy technique with few complications in our study. Hysteroscopic septoplasty is strongly recommended after recurrent miscarriages or premature deliveries. We use to propose surgery to every patient affected by septate uterus, even if they have never been pregnant.
authors.affiliation: Service de gynécologie obstétrique, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Comte
authors.affiliation: Service de gynécologie obstétrique, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: C-A
authors.initials: CA
authors.lastname: Philip
authors.affiliation: Pôle information médicale et recherche, site Lacassagne, 162, avenue Lacassagne, 69424 Lyon cedex 03, France.
authors.forename: J
authors.initials: J
authors.lastname: Berthiller
authors.affiliation: Pôle information médicale et recherche, site Lacassagne, 162, avenue Lacassagne, 69424 Lyon cedex 03, France.
authors.forename: A-M
authors.initials: AM
authors.lastname: Schott
authors.affiliation: Service de gynécologie obstétrique, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Golfier
authors.affiliation: Service de gynécologie obstétrique, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. Electronic address: daniel.raudrant@chu-lyon.fr.
authors.forename: D
authors.initials: D
authors.lastname: Raudrant
mesh_terms: D000026:Abortion, Habitual / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D000328:Adult; D005260:Female; D005602:France / Q000453:epidemiology; D006785:Hospitals, University; D006801:Humans; D015907:Hysteroscopy; D011247:Pregnancy; D011256:Pregnancy Outcome; D047928:Premature Birth / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*
keywords: Cloison utérine; Malformation utérine; Metroplasty; Pronostic obstétrical; Reproductive outcome; Septate uterus; Septoplastie hystéroscopique; Uterine malformation
vernacular_title: Faut-il attendre les accidents obstétricaux pour sectionner les cloisons utérines ?