Hysteroscopic metroplasty for septate uterus and repetitive abortions: reproductive outcome.

Objectives: The aim of this study is to assess fertility outcome and obstetrical prognosis of 63 patients after hysteroscopic section of uterine septa.

Materials And Methods: This is a retrospective study about 63 patients consulting for septate uterus and repeated pregnancy loss or abnormal fetal presentation between January 1988 and December 1996 in La Conception hospital in Marseille. Septal lysis was performed with microscissors or resectoscope.

Endoscopic surgery. The end of classic surgery?

Gynecological endoscopy is now a well-established procedure and it has been proved that the laparoscopic surgical technique can be used in the management of most gynecological disorders thus replacing conventional laparotomic procedures. The latest indications apply to such functional pathologic conditions as urinary incontinence and genital prolapse, and oncology (radical hysterectomy, lymphadenectomy). Hysteroscopy has afforded an easier surgical approach to certain pathologies such as septate uterus and endometrial ablation.

Hysteroscopic surgery in postmenopausal women.

Objective: To assess the efficacy of hysteroscopic surgery in postmenopausal women presenting with abnormal uterine bleeding.

Design: A retrospective audit of 102 patients.

Setting: The Department of Obstetrics and Gynecology B, La Conception Hospital, Marseilles, France.

Gasless laparoscopic gynecologic surgery.

Objective: Evaluate gasless laparoscopic gynecologic surgery as an alternative to conventional technique with carbon dioxide insufflation.

Study Design: Retrospective study of 49 cases.

Results: Gasless laparoscopic gynecologic surgery was successful in 90% of cases.