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Gynecological Surgery

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Open Access 01-12-2021 | Infertility | Original Article

The use of hysteroscopic metroplasty with diode laser to increase endometrial volume in women with septate uterus: preliminary results

Authors: Luigi Nappi, Maddalena Falagario, Stefano Angioni, Vincenzo De Feo, Michele Bollino, Felice Sorrentino

Published in: Gynecological Surgery | Issue 1/2021

Abstract

Background

Septate uterus is a common Mullerian ducts anomaly. The aim of our pilot study was the evaluation of diode laser hysteroscopic metroplasty efficacy to increase endometrial volume in women with septate uterus.

Results

We prospectively enrolled 10 consecutive patients with septate uterus undergoing office hysteroscopic metroplasty with diode laser between February and November 2019. Endometrial volume was evaluated before and 3 months after surgery using 3D transvaginal ultrasound. The surgical procedure was uncomplicated in all patients, the endometrial volume increased at 3 months follow-up (the median increase was 1.9 cm³ (range 1.7–2.1), and there was a complete removal of septum with no intrauterine synechiae at follow-up hysteroscopy.

Conclusions

Office hysteroscopic metroplasty with diode laser is a safe procedure and has preliminary showed to increase endometrial volume. The increase in endometrial volume by 3D-TV US could be used as a prognostic factor for the reproductive outcomes.

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Title: The use of hysteroscopic metroplasty with diode laser to increase endometrial volume in women with septate uterus: preliminary results
Authors: Luigi Nappi
Maddalena Falagario
Stefano Angioni
Vincenzo De Feo
Michele Bollino
Felice Sorrentino
Publication date: 01-12-2021
Publisher: Springer Berlin Heidelberg
Keywords: Infertility
Ultrasound
Infertility
Hysteroscopy
Ultrasound
Diode Laser
Laser
Published in: Gynecological Surgery / Issue 1/2021
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI: https://doi.org/10.1186/s10397-021-01093-8

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Springer Medicine

The use of hysteroscopic metroplasty with diode laser to increase endometrial volume in women with septate uterus: preliminary results

Abstract

Background

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Results

Conclusions

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