Author/Authors :
Tehraninejad، Ensieh Shahrokh نويسنده Department of Endocrinology and Female Infertility at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, T , , Ghaffari ، Firouzeh نويسنده Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Teh , , Jahangiri، Nadia نويسنده Department of Endocrinology and Female Infertility at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, T , , Oroomiechiha، Mansoureh نويسنده Department of Endocrinology and Female Infertility at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, T , , Akhoond، Mohammad Reza نويسنده , , Aziminekoo، Elham نويسنده Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, Iran ,
Abstract :
Background: The aim of this study was to evaluate the reproductive outcome of women
with history of infertility or recurrent miscarriage following hysteroscopic septum resection.
Materials and Methods: This was a retrospective descriptive study performed on 263
patients, among whom 248 patients were infertile (79% with primary infertility and
21% with secondary infertility) and 15 patients presented with histories of recurrent
miscarriage (three or more miscarriages) between 2005 and 2009. All participants
underwent hysteroscopic septum resection using monopolar knife electrode. The
main outcome measure was reproductive outcome after hysteroscopic metroplasty.
Results: The septum was completely removed during the first hysteroscopy in 242 (92%)
patients. A residual septum was seen in 21 (8%) patients who required a second sitting of
surgery. Three cases were complicated by minor perforations which required no further
interventions. One operation complicated with bleeding which was controlled by a Foley
catheter. There were no cases of postoperative Asherman’s syndrome. Postoperatively,
out of 263 patients, outcomes of 203 individuals were analyzed. According to the results,
the miscarriage rate reduced significantly from 20.2 to 4.9%. Postoperative ectopic pregnancy
rate and preterm labor were lower than prior to septum resection. Term deliveries
increased significantly from 2.5 to 33.5%.
Conclusion: Hysteroscopic septum resection is a safe and effective method for patients
with history of infertility or recurrent miscarriage.
