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Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus
BACKGROUND The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus. METHODS The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hyst...
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| Published in: | Human reproduction (Oxford) 2011-07, Vol.26 (7), p.1730-1734 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c394t-3d58c908ee19a27907ecbaed842c4e7d0fca9b1585a981619dd6d2ab8562c683 |
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| container_end_page | 1734 |
| container_issue | 7 |
| container_start_page | 1730 |
| container_title | Human reproduction (Oxford) |
| container_volume | 26 |
| creator | Fernandez, Hervé Garbin, Olivier Castaigne, Vanina Gervaise, Amélie Levaillant, Jean-Marc |
| description | BACKGROUND
The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus.
METHODS
The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hysteroscopy 2 months afterwards to assess the success of the procedure and determine whether any synechiae were present.
RESULTS
Forty-eight women (49.5%) became pregnant after metroplasty. The overall live birth rate per pregnancy before surgery was 0%; for these patients, it increased to 73%, and their miscarriage rate fell from 78 to 27% (P < 0.05). For all 57 pregnancies in 48 women, the ectopic pregnancy rate was 9% (n = 5), the miscarriage rate 28% (n = 16), the preterm delivery rate 14% (n = 8), the term delivery rate 49% (n = 28) and the live birth rate was 63% (n = 36).
CONCLUSIONS
Hysteroscopic metroplasty improves the live birth rate for women with a T-shaped uterus and a history of primary infertility, recurrent abortion or preterm delivery, although it is not a treatment of infertility. |
| doi_str_mv | 10.1093/humrep/der056 |
| format | article |
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The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus.
METHODS
The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hysteroscopy 2 months afterwards to assess the success of the procedure and determine whether any synechiae were present.
RESULTS
Forty-eight women (49.5%) became pregnant after metroplasty. The overall live birth rate per pregnancy before surgery was 0%; for these patients, it increased to 73%, and their miscarriage rate fell from 78 to 27% (P < 0.05). For all 57 pregnancies in 48 women, the ectopic pregnancy rate was 9% (n = 5), the miscarriage rate 28% (n = 16), the preterm delivery rate 14% (n = 8), the term delivery rate 49% (n = 28) and the live birth rate was 63% (n = 36).
CONCLUSIONS
Hysteroscopic metroplasty improves the live birth rate for women with a T-shaped uterus and a history of primary infertility, recurrent abortion or preterm delivery, although it is not a treatment of infertility.</description><identifier>ISSN: 0268-1161</identifier><identifier>EISSN: 1460-2350</identifier><identifier>DOI: 10.1093/humrep/der056</identifier><identifier>PMID: 21398337</identifier><identifier>CODEN: HUREEE</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Abortion, Habitual - surgery ; Adult ; Biological and medical sciences ; Birth Rate ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Hysteroscopy - methods ; Infertility, Female - surgery ; Medical sciences ; Pregnancy ; Pregnancy Complications ; Pregnancy Outcome ; Pregnancy Rate ; Pregnancy, Ectopic ; Retrospective Studies ; Treatment Outcome ; Uterus - abnormalities ; Uterus - surgery</subject><ispartof>Human reproduction (Oxford), 2011-07, Vol.26 (7), p.1730-1734</ispartof><rights>The Author 2011. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-3d58c908ee19a27907ecbaed842c4e7d0fca9b1585a981619dd6d2ab8562c683</citedby><cites>FETCH-LOGICAL-c394t-3d58c908ee19a27907ecbaed842c4e7d0fca9b1585a981619dd6d2ab8562c683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24266417$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21398337$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernandez, Hervé</creatorcontrib><creatorcontrib>Garbin, Olivier</creatorcontrib><creatorcontrib>Castaigne, Vanina</creatorcontrib><creatorcontrib>Gervaise, Amélie</creatorcontrib><creatorcontrib>Levaillant, Jean-Marc</creatorcontrib><title>Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus</title><title>Human reproduction (Oxford)</title><addtitle>Hum Reprod</addtitle><description>BACKGROUND
The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus.
METHODS
The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hysteroscopy 2 months afterwards to assess the success of the procedure and determine whether any synechiae were present.
RESULTS
Forty-eight women (49.5%) became pregnant after metroplasty. The overall live birth rate per pregnancy before surgery was 0%; for these patients, it increased to 73%, and their miscarriage rate fell from 78 to 27% (P < 0.05). For all 57 pregnancies in 48 women, the ectopic pregnancy rate was 9% (n = 5), the miscarriage rate 28% (n = 16), the preterm delivery rate 14% (n = 8), the term delivery rate 49% (n = 28) and the live birth rate was 63% (n = 36).
CONCLUSIONS
Hysteroscopic metroplasty improves the live birth rate for women with a T-shaped uterus and a history of primary infertility, recurrent abortion or preterm delivery, although it is not a treatment of infertility.</description><subject>Abortion, Habitual - surgery</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth Rate</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hysteroscopy - methods</subject><subject>Infertility, Female - surgery</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy Rate</subject><subject>Pregnancy, Ectopic</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Uterus - abnormalities</subject><subject>Uterus - surgery</subject><issn>0268-1161</issn><issn>1460-2350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqF0DtPwzAUBWALgaAURlbkBcESaufh2COqeEmVGOiIFN3YNzSoqYMdI_HvcZUWRiZ7-Hyu7yHkgrNbzlQ2W4XOYT8z6FghDsiE54IlaVawQzJhqZAJ54KfkFPvPxiLVymOyUnKMyWzrJyQt9fg3lsNawp97yzoFR0shY2hMdVZE_TQfiG1YdC2QwrNgI76_RttncMo7IbahgJdJn4FPRoaIgv-jBw1sPZ4vjunZPlwv5w_JYuXx-f53SLRmcqHJDOF1IpJRK4gLRUrUdeARuapzrE0rNGgal7IApSMKyhjhEmhloVItZDZlFyPsfHDnwH9UHWt17hewwZt8JUsuRK5FEWUySi1s947bKretR2474qzaltnNdZZjXVGf7lLDnWH5lfv-4vgagfAx0IaBxvd-j-Xp0LkfOtuRmdD_8_MHxNxju8</recordid><startdate>20110701</startdate><enddate>20110701</enddate><creator>Fernandez, Hervé</creator><creator>Garbin, Olivier</creator><creator>Castaigne, Vanina</creator><creator>Gervaise, Amélie</creator><creator>Levaillant, Jean-Marc</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110701</creationdate><title>Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus</title><author>Fernandez, Hervé ; Garbin, Olivier ; Castaigne, Vanina ; Gervaise, Amélie ; Levaillant, Jean-Marc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-3d58c908ee19a27907ecbaed842c4e7d0fca9b1585a981619dd6d2ab8562c683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abortion, Habitual - surgery</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth Rate</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hysteroscopy - methods</topic><topic>Infertility, Female - surgery</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy Rate</topic><topic>Pregnancy, Ectopic</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Uterus - abnormalities</topic><topic>Uterus - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernandez, Hervé</creatorcontrib><creatorcontrib>Garbin, Olivier</creatorcontrib><creatorcontrib>Castaigne, Vanina</creatorcontrib><creatorcontrib>Gervaise, Amélie</creatorcontrib><creatorcontrib>Levaillant, Jean-Marc</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Human reproduction (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernandez, Hervé</au><au>Garbin, Olivier</au><au>Castaigne, Vanina</au><au>Gervaise, Amélie</au><au>Levaillant, Jean-Marc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus</atitle><jtitle>Human reproduction (Oxford)</jtitle><addtitle>Hum Reprod</addtitle><date>2011-07-01</date><risdate>2011</risdate><volume>26</volume><issue>7</issue><spage>1730</spage><epage>1734</epage><pages>1730-1734</pages><issn>0268-1161</issn><eissn>1460-2350</eissn><coden>HUREEE</coden><abstract>BACKGROUND
The aim of this study was to describe the surgical approach to, and evaluate the reproductive outcome of, a T-shaped uterus.
METHODS
The study included 97 women who were eligible for hysteroscopic surgery, by either monopolar or bipolar electrosurgical instruments. All had diagnostic hysteroscopy 2 months afterwards to assess the success of the procedure and determine whether any synechiae were present.
RESULTS
Forty-eight women (49.5%) became pregnant after metroplasty. The overall live birth rate per pregnancy before surgery was 0%; for these patients, it increased to 73%, and their miscarriage rate fell from 78 to 27% (P < 0.05). For all 57 pregnancies in 48 women, the ectopic pregnancy rate was 9% (n = 5), the miscarriage rate 28% (n = 16), the preterm delivery rate 14% (n = 8), the term delivery rate 49% (n = 28) and the live birth rate was 63% (n = 36).
CONCLUSIONS
Hysteroscopic metroplasty improves the live birth rate for women with a T-shaped uterus and a history of primary infertility, recurrent abortion or preterm delivery, although it is not a treatment of infertility.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>21398337</pmid><doi>10.1093/humrep/der056</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0268-1161 |
| ispartof | Human reproduction (Oxford), 2011-07, Vol.26 (7), p.1730-1734 |
| issn | 0268-1161 1460-2350 |
| language | eng |
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| source | Oxford Journals Online |
| subjects | Abortion, Habitual - surgery Adult Biological and medical sciences Birth Rate Female Gynecology. Andrology. Obstetrics Humans Hysteroscopy - methods Infertility, Female - surgery Medical sciences Pregnancy Pregnancy Complications Pregnancy Outcome Pregnancy Rate Pregnancy, Ectopic Retrospective Studies Treatment Outcome Uterus - abnormalities Uterus - surgery |
| title | Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus |
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