caa a22 4500 44530863X CHVBK 20180317142621.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00404-009-1336-1 doi (NATIONALLICENCE)springer-10.1007/s00404-009-1336-1 Reproductive outcome following hysteroscopic septal resection in patients with infertility and recurrent abortions [Elektronische Daten] [K. Roy, S. Singla, J. Baruah, S. Kumar, J. Sharma, D. Karmakar] Objectives: To evaluate the outcome of hysteroscopic septal resection in patients with infertility and recurrent abortions. Materials and methods: This was a retrospective clinical analysis of 170 patients who underwent hysteroscopic septal resection by monopolar electrode (Collin's) knife. A second-look office hysteroscopy was performed in all cases within 2months. The mean follow-up period was 28.5months. Results: The mean age of the patients was 25.6years. The presenting clinical complaint was recurrent abortions in 68.2% patients, infertility in 17.6% patients and preterm deliveries in 14.1% patients. Final reproductive outcome was assessed for 152 patients, after excluding patients with other confounding factors, interfering in pregnancy outcome. There was a significant difference in reduction of number of miscarriages (91.5% pre-surgery; 12.9% post-surgery: p=0.02) and increase in term deliveries (2.5% pre-surgery; 79.5% post-surgery: p=0.01), while the number of preterm deliveries remained almost the same (6.1% pre-surgery; 7.5% post-surgery). Thirteen out of 23 infertile patients (56.5%) conceived after septal resection. The take home baby rate was increased from 8.5 to 87.1%. Cumulative first live birth rate revealed that 51.2% women had their first live birth within 10-15months. There was an increased incidence (43.2%) of cesarean section in mode of delivery. In 11/170 patients, repeat hysteroscopy suggested the presence of uterine adhesions which needed hysteroscopic adhesiolysis and three patients required repeat septal resection. Conclusions: Hysteroscopic septal resection for women with history of recurrent abortions, preterm deliveries and in women with infertility is a safe and effective method of choice for improving the obstetric outcome. Springer-Verlag, 2009 Uterine septum nationallicence Hysteroscopy nationallicence Septal resection nationallicence Recurrent abortions nationallicence Roy K. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut Singla S. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut Baruah J. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut Kumar S. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut Sharma J. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut Karmakar D. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 273-279 0932-0067 283:2<273 2011 283 404 https://doi.org/10.1007/s00404-009-1336-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1336-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Roy K. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut NATIONALLICENCE 700 1- Singla S. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut NATIONALLICENCE 700 1- Baruah J. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut NATIONALLICENCE 700 1- Kumar S. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut NATIONALLICENCE 700 1- Sharma J. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut NATIONALLICENCE 700 1- Karmakar D. Department of Obstetrics and Gyneology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 273-279 0932-0067 283:2<273 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer