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Indian Journal of Obstetrics and Gynecology Research


Reproductive outcome following hysteroscopic septal resection


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Author Details: Benudhar Pande, Santosh Kumar Dora, Sharmila Pradhan

Volume : 4

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 437

Article End Page : 439


Abstract

Introduction: Uterine septum is one of the commonest congenital malformations observed in patients with poor obstetric outcome. The incidence could be as high as 80%-90%. The aim of our study is to found out the reproductive outcome among patients undergoing hysteroscopic septal resection.
Materials and Method: A retrospective study was conducted over a period of 2009 to 2013 in VIMSAR and Samleswari hospital Burla. All the patients undergone septal resection, followed for a period of three years and their reproductive outcomes were noted.
Results: A total of 32 women were recruited over a period of 5 years and out of this 12(37.5%) presented with infertility and 20(62.5%) had bad obstetrics history. In the primary setting septal resection was completed in 29(90.62%) and in three patients required a second setting to complete the procedure. Out of this three patients, 2(6.25%) had uterine perforation and in patient procedure was abandoned due to development of pulmonary edema. Follow up was available for 28 patients and 4 women were lost to follow up. A total of 24(85.71%) women were conceived with 17(60.71%) had deliver a live baby.
Conclusion: Hysteroscopic septal resection is a simple and safe procedure with no increase in morbidity or mortality. Besides this it is associated with a better pregnancy outcome.

Keywords:
Infertility, Hysteroscopy, Laparoscopy, Uterine septum, Uterine congenital malformation

Doi No:-10.18231