15 iul. METROPLASTIA HISTEROSCOPICĂ – STUDIU RETROSPECTIV A 112 CAZURI OPERATE ÎN SPITALUL CLINIC DE OBSTETRICĂ GINECOLOGIE „PROF. DR. PANAIT SÎRBU”
Abstract – Hysteroscopic metroplasty – retrospective study
The septat uterus is the most frecvent congenital uterine anomalie with an incidence of 3.2% in the women population with normal reproductive outcome. This incidence raises up to 10-25% when we speak about women with adverse reproductive outcome meaning premature birth or second trimester miscarriage.
In this moment , according to the indications of the specialists in domain, the indication of surgical repair of septate uterus is restricted to infertile women with miscarriage and premature birth but is not warranted in asymptomatic women or those with primary infertility. The gold standard therapy for septat uterus is represented by hysteroscopic metroplasty because of its advantajes : low morbidity, lack of transabdominal and transmiometrial incisions, lack of postoperative adhesions, shorter time before a pregnancy and possibility of vaginal delivery .
In our study group we observed good results -72% pregnancies obtained posthysteroscopic metroplasty.The importance of associated pathology is evidenced by the number of pregnancies obtained in women without other gynecologic pathology – 81%.
Keywords: septat uterus , hysteroscopic metroplasty