title: Light-guided hysteroscopic resection of complete septate uterus with preservation of duplicated cervix.
abstract: The objective of the present study, performed at a tertiary university hospital, was to propose a novel method of hysteroscopic resection of complete septate uterus with preservation of duplicated cervix. The retrospective study included 5 women with complete septate uterus and cervical duplication and who also experienced infertility with or without pregnancy loss. All patients underwent bougie-guided or light-guided hysteroscopic perforation of the uterine septum above the endocervix, followed by septum resection. The success rate of complete uterine septum perforation under bougie guidance was 60% (3 of 5 procedures), and of light guidance was 100% (2 procedures). After hysteroscopic septum resection, 2 of 5 women achieved pregnancy within 3 months and delivered uneventfully at term. It is concluded that light guidance is superior to bougie guidance for hysteroscopic perforation of complete septate uterus with preservation of the duplicated cervix.
authors.affiliation: Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Jehn-Hsiahn
authors.initials: JH
authors.lastname: Yang
authors.affiliation: Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Mei-Jou
authors.initials: MJ
authors.lastname: Chen
authors.affiliation: Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Jin-Chung
authors.initials: JC
authors.lastname: Shih
authors.affiliation: Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address: cdchen@ntu.edu.tw.
authors.forename: Chin-Der
authors.initials: CD
authors.lastname: Chen
authors.affiliation: Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Shee-Uan
authors.initials: SU
authors.lastname: Chen
authors.affiliation: Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Yu-Shih
authors.initials: YS
authors.lastname: Yang
mesh_terms: D000022:Abortion, Spontaneous / Q000209:etiology; D000328:Adult; D002584:Cervix Uteri / Q000002:abnormalities / Q000601:surgery; D005260:Female; D059247:Fertility Preservation; D005306:Fertilization; D006785:Hospitals, University; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D021621:Imaging, Three-Dimensional; D007247:Infertility, Female / Q000209:etiology; D008027:Light; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*
keywords: Cervical duplication; Complete septate uterus; Hysteroscopy; Light guidance