When correcting a complete uterine septum, it is recommended that one should spare the cervical portion to avoid the possible risk of cervical incompetence. However, it may be difficult to create a communication between the uterine cavities above the internal os. In seven patients with complete septate uterus we incised the cervical portion with Metzenbaum scissors and the corporal portion with microscissors under hysteroscopic guidance. The operating times were shorter and the distension fluid deficit smaller compared with nine historical controls in whom the cervical septum was spared. No intraoperative or obstetric complications were associated with cervical septal section. This modified technique is simple, rapid, safe, inexpensive, and may be considered among the alternative treatments to correct a complete septate uterus.

A modified technique for correction of the complete septate uterus / P. Vercellini, G. Ragni, L. Trespidi, S. Oldani, S. Panazza, P. G. Crosignani. - In: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. - ISSN 0001-6349. - 73:5(1994 May), pp. 425-428.

A modified technique for correction of the complete septate uterus

P. Vercellini
Primo
;
L. Trespidi;P. G. Crosignani
Ultimo
1994

Abstract

When correcting a complete uterine septum, it is recommended that one should spare the cervical portion to avoid the possible risk of cervical incompetence. However, it may be difficult to create a communication between the uterine cavities above the internal os. In seven patients with complete septate uterus we incised the cervical portion with Metzenbaum scissors and the corporal portion with microscissors under hysteroscopic guidance. The operating times were shorter and the distension fluid deficit smaller compared with nine historical controls in whom the cervical septum was spared. No intraoperative or obstetric complications were associated with cervical septal section. This modified technique is simple, rapid, safe, inexpensive, and may be considered among the alternative treatments to correct a complete septate uterus.
Abortion; Genital malformations; Hysteroscopy; Septate uterus
Settore MED/40 - Ginecologia e Ostetricia
mag-1994
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/199248
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