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Fertil Steril. 2010 Aug;94(3):1086-9. doi: 10.1016/j.fertnstert.2009.05.018. Epub 2009 Jul 9.
OBJECTIVE:
To study the operative, anatomic, and functional outcome of tactile cold scissor metroplasty (TCSM) as a backup method for hysteroscopic metroplasty.
DESIGN:
Case series with description of the technique.
SETTING:
Assiut University Women's Health Center.
PATIENT(S):
Three cases with failed hysteroscopic metroplasty out of 127 cases with uterine septa scheduled for hysteroscopic resection.
INTERVENTION(S):
The TCSM procedure was performed in three cases under direct laparoscopic monitoring.
MAIN OUTCOME MEASURE(S):
Operative time, complications, hysteroscopic appearance of the cavity, reproductive outcome, and reintervention rates.
RESULTS:
The TCSM procedure was performed successfully in the three cases with a short total operative time (10-12 minutes). Subsequent office hysteroscopic appearance was satisfactory. Patients were then followed up for a period of time ranging from 3 to 28 months. One case had a successful pregnancy outcome, one has an ongoing pregnancy, and the last one did not get pregnant so far.
CONCLUSION(S):
Tactile cold scissor metroplasty is a useful, safe, and effective backup procedure for hysteroscopic metroplasty.
Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
