title: The techniques and outcomes of hysteroscopic metroplasty.
abstract: OBJECTIVE
  To evaluate the reproductive outcomes and surgical techniques of the hysteroscopic metroplasty in women with septate uterus and recurrent abortions or primary unexplained infertility.
  
  
  RESULTS
  Septate uterus is the most frequent congenital uterine anomaly caused by inadequate resorption of the Müllerian ducts. Hysteroscopic metroplasty has replaced the traditional laparotomy approach because of its positive and satisfactory outcomes in pregnancy and live-birth rates, and also many different postoperative benefits. The aim of metroplasty is to restore a normal anatomy of the uterine cavity as a prerequisite for a positive implantation and subsequent good obstetrical outcomes. This treatment clearly demonstrates its effectiveness both in recurrent abortion and in primary unexplained infertility.
  
  
  CONCLUSIONS
  The hysteroscopic metroplasty with its simplicity, safety, and improved reproductive outcomes has liberalized the approach to treatment. Today, hysteroscopic metroplasty is a common practice to treat septate uterus with salutary effects both in infertile patients and in patients with recurrent pregnancy loss or premature labor, especially if in-vitro fertilization is being contemplated. Decisions on when to treat uterine septa are discussed in particular because of lack of prospective, randomized controlled trials.
authors: Department of Obstetrics and Gynecology and Reproductive Biology, Alma Mater Studiorum University of Bologna, Bologna, Italy.
authors: Roberto
authors: R
authors: Paradisi
authors: Rita
authors: R
authors: Barzanti
authors: Raffaella
authors: R
authors: Fabbri
mesh_terms: D000026:Abortion, Habitual / Q000517:prevention & control*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000601:surgery*; D011247:Pregnancy; D015203:Reproducibility of Results; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery*