title: Hysteroscopic metroplasty for the septate uterus with diode laser: a pilot study.
abstract: OBJECTIVE
  To evaluate the feasibility and safety of office hysteroscopic metroplasty using a 980nm diode laser.
  
  
  METHODS
  18 patients were treated for septate uterus between 2013 and 2016. The indications for hysteroscopic metroplasty were recurrent abortion in 11 of the women and primary infertility in the other seven. We used a 5mm-office hysteroscope with a diode laser fibre. After exploration of the cavity, the septum was divided with use of the laser fibre.
  
  
  RESULTS
  Operating time was 13,16±1,33min. Intraoperative pain was 3,05±0,72. No intraoperative or postoperative complications were observed. Follow-up performed 2 months after the hysteroscopic metroplasty confirmed the complete removal of the septum and no evidence of intrauterine synechiae.
  
  
  CONCLUSIONS
  Office hysteroscopic metroplasty with use of a diode laser is safe and feasible; we believe that vaporization of the septum with a diode laser could reduce the formation of adhesions and consequently reduce the occurrence of septum persistence.
authors.affiliation: Dipartimento di Scienze Mediche e Chirurgiche, Istituto di Ginecologia ed Ostetricia, Università degli Studi di Foggia, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Nappi
authors.affiliation: U.O.C Obstetric and Gynecology, Hospital San Francesco, Nuoro, Italy. Electronic address: alesspontis@msn.com.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Pontis
authors.affiliation: Dipartimento di Scienze Mediche e Chirurgiche, Istituto di Ginecologia ed Ostetricia, Università degli Studi di Foggia, Italy.
authors.forename: Felice
authors.initials: F
authors.lastname: Sorrentino
authors.affiliation: Department of Morphology, Surgery and Experimental Medicine, Ferrara, Italy.
authors.forename: Pantaleo
authors.initials: P
authors.lastname: Greco
authors.affiliation: Dipartimento di Scienze Mediche e Chirurgiche, Clinica Ostetrica e Ginecologica, Università degli Studi di Cagliari, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Angioni
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D007247:Infertility, Female / Q000601:surgery*; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods*; D054023:Lasers, Semiconductor / Q000009:adverse effects; D061646:Operative Time; D010865:Pilot Projects; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery*
keywords: Diode laser; Hysteroscopy; Metroplasty; Uterine septum