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Surgical Endoscopy

Published in:

01-09-2009

Transcervical incision of septa: 447 cases

Authors: Long Sui, Qin Wan, Rui-lian Zheng, Min Chen, Feng Xie, Wen-jing Diao, Jin Dong, Yu Song, Shu-jun Gao

Published in: Surgical Endoscopy | Issue 9/2009

Abstract

Background

Although uterine septum does not cause infertility, it may lead to recurrent abortion, preterm delivery, and premature rupture of membrane in over 25% of patients. The aim of this study was to evaluate feasibility and clinical value of hysteroscopic bipolar electric vaporization technique (Versapoint Bipolar Electrosurgical System) used in transcervical incision of septa (TCIS) in an outpatient setting.

Methods

Retrospectively, 447 cases of hysteroscopic TCIS were analyzed. Operative time, blood loss, consumption of uterus distension medium, and period of postoperative hospital stay were compared between outpatients and inpatients. Feasibility of outpatient TCIS using bipolar electric vaporization system under analgesia and without anesthesia was investigated. All hysteroscopic procedures were performed after review and approval by institutional ethical committee. Stata 8.0 software was used for statistical analysis, and t test and χ ² test were used to evaluate association among numerical and categorical variables. p < 0.05 indicated statistically significant difference.

Results

The study included 121 inpatients (27.1%) and 326 outpatients (72.9%). Three hundred sixty-two cases (80.98%) were under only pethidine analgesia and 420 cases (93.96%) under local infiltration anaesthesia or analgesia. Of 447 cases of TCIS, 433 (96.87%) were accomplished under intravenous, local infiltration anaesthesia or pethidine analgesia. In all TCIS, 421 cases (94.18%) were carried out with mechanical microscissors and bipolar electric vaporization incision. No significant difference was identified between inpatients and outpatients in terms of operative time, blood loss, or consumption of uterus distension medium (p > 0.05). However, period of postoperative hospital stay was significantly shorter in outpatient TCIS than in inpatient TCIS by an average of 24 h or more (p < 0.01).

Conclusions

Hysteroscopic bipolar electric vaporization TCIS could be carried out safely and efficaciously in an outpatient setting, by using smaller hysteroscope and bipolar electrodes.

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Title: Transcervical incision of septa: 447 cases
Authors: Long Sui
Qin Wan
Rui-lian Zheng
Min Chen
Feng Xie
Wen-jing Diao
Jin Dong
Yu Song
Shu-jun Gao
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 9/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-0209-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transcervical incision of septa: 447 cases

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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