Author/Editor		Tomaževič, T; Premru-Sršen, T; Ribič-Pucelj, M; Ban, H; Verdenik, I; Vogler, A; Bokal-Vrtačnik, E; Virant-Klun, I
Title		Pregnancies before and after hysteroscopic discision of AFS5 and 6 uterine septa by resectoscope
Type		članek
Source		In: Coutinho EM, Spinola P, editors. Current knowledge in reproductive medicine. Proceedings of the 10th world congress on human reproduction; 1999 May 4-8; Salvador. 1st ed. Amsterdam: Elsevier science,
Publication year		2000
Volume		str. 113-20
Language		eng
Abstract		Study objective: To evaluate reproductive results in different grades of uterine anomalies before and after transcervical discisions of uterine septa by retroscope. Study design: Retrospective analysis of 232 metroplasties by resectoscope. Setting: Reproductive unit, University woen hospital, Ljubljana, Slovenia. Interventions: Hysteroscopic metroplasties were performed between 1993 and 1996. The 5% dextrose was a distending medium and the automated gravitational Vario flow system was used for uterine distention. Main results: The structures of 338 pregnancies before the operation significantly differed to the structure from 78 to 11% (p<0.0001). The delivery rate increased from 13 to 81%. Preterm deliveries dropped from 50 to 10% of all deliveries (p<0.0001). The ectopic pregnancy rate showed no difference: 8 and 7%. Perinatal and neonatal data in 100 deliveries after metroplasty showed no difference compared to the data in 200 deliveries in normal controls. There were 40% of small septa (AFS 6) and 60% of more important septa - 1.5 cm - total septum (AFS 5). The spontaneous abortion rate per all pregnancies dropped from 81 to 10% after 94 discisions of AFS grade 5 uterine septa (p<0.0001). The preterm delivery rate dropped from 55 to 2% (p<0.0001) of all deliveries after metroplasties for minor anomalies (AFS 6), and from 43 to 13% after discision of AFS grade 5 uterine septa (p<0.002). Conclusions: The results highlight the curative and indicate the possible preventive role of this safe and simple endoscopic procedure.
Descriptors		UTERUS HYSTEROSCOPY PREGNANCY INFANT, NEWBORN INFANT, PREMATURE RETROSPECTIVE STUDIES PREGNANCY, ECTOPIC ABORTION, HABITUAL