Abstract
Objective
The aim of the study is to show the pre- and postoperative results of transcorporal
septal dissection using the balloon technique in complete uterine septums, which is
a rare pathology.
Study design
It is a retrospective analysis. In this study 21 patients with a complete uterine
septum were included. All patient underwent the transcorporal septal dissection using
the balloon technique. Data analysis was based on patient history, surgical reports
and telephone contact with the patients and supervising gynecologists.
Results
73% patients with a current desire to become pregnant managed to do so and 75% of
them were able to give birth on time. One patient was pregnant at the time of the
analysis. In 17 patients the results of the control hysteroscopy were available. In
eight patients (47%) a normal cavity was found. In nine cases (53%) a residual septum
of 1–2 cm was found, so that an operative hysteroscopy with a residual septum dissection
was performed. The operative time was average 30.6 min in the group without laparoscopy
and 56.8 min in the group with laparoscopy.
Conclusion
The transcorporal septum dissection using the balloon technique is a safe method with
a good fertility outcome and requires an experienced surgeon.
Keywords
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Article info
Publication history
Published online: August 25, 2021
Accepted:
August 23,
2021
Received in revised form:
August 6,
2021
Received:
July 1,
2021
Identification
Copyright
© 2021 Elsevier B.V. All rights reserved.
