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The robotic metroplasty in a patient with hybrid septate variant anomaly.
J Robot Surg
September 2016
Specialist in Obstetrics and Gynecology, Acıbadem Maslak Hospital, Istanbul, Turkey.
Complete uterovaginal septum is unusually associated with an obstructed left hemivagina and hemiuteri. Herein we present a case report of "hybrid septate variant" anomaly diagnosed in a 16-year-old girl. The uterine septum could not be completely removed hysteroscopically because of the obstructed vagina and thick uterine septum; therefore an abdominal approach, robotic metroplastic surgery was performed.
View Article and Find Full Text PDFImprovement in uterine artery doppler indices via hysteroscopic metroplasty.
J Prenat Med
April 2013
Ospedale Israelitico, Rome, Italy.
Objective: the objective of our research was to study uterine artery doppler indices and their evolution over time after metroplasty and subsequent pregnancy in patients whose septate uterus was the only explanation for infertility.
Materials And Methods: a retrospective study. The uterine arteries of 78 patients with septate uteri were evaluated using endovaginal color doppler ultrasound before and after metroplasty.
Laparoscopic Strassman metroplasty in a postmenarcheal adolescent girl with Herlyn-Werner-Wunderlich müllerian anomaly variant, obstructed noncommunicating didelphic uterus without gartner duct pseudocyst.
J Minim Invasive Gynecol
October 2013
Raffles Japanese Clinic, Raffles Hospital, Singapore.
Asymmetric obstructed uterus didelphys (Herlyn-Werner-Wunderlich syndrome), also known as obstructed hemivagina with ipsilateral renal agenesis syndrome, is a rare congenital müllerian duct anomaly. Herein we present a case report of incomplete Herlyn-Werner-Wunderlich syndrome, with absence of the hemivaginal septum, diagnosed in a 12-year-old girl. Treatment of the severe pain using an analgesic agent was ineffective.
View Article and Find Full Text PDFAn immunohistochemical study of metroplastic surgical specimens from patients with a septate uterus.
Reprod Med Biol
December 2011
Department of Pathology, School of Medicine Tokai University Isehara Kanagawa Japan.
Purpose: To elucidate the etiology of recurrent pregnancy loss in patients with congenital uterine anomalies, an immunohistochemical technique was used to quantitatively evaluate the vascular arrangement of septate uteri with respect to vascular density and morphology.
Methods: Nine specimens obtained from patients who had undergone metroplastic surgery for the treatment of a septate uterus and 10 control specimens from patients who had undergone a hysterectomy because of cervical carcinoma were used in this study. Formalin-fixed paraffin-embedded uterine specimens were then immunostained for CD34, which is specifically expressed in vascular endothelial cells.
Preoperatory treatment with Triptorelin LA in hysteroscopic metroplastic.
Acta Eur Fertil
October 1995
Institute of Gynaecology and Obstetrics, University of Florence, Italy.
Septate uterus is the intracavitary pathology which is most associated with infertility and/or preterm labor; therefore, it is primary indication for hysteroscopic metroplasty. By the introductio of the resectoscope in gynaecological endoscopy the surgical technique has been revolutioned. GnRHa therapy before surgery has showed some advantages related to surgical results, surgery time, intraoperative bleeding and endometrial detachment, and amount of fluids used for uterine cavity distention.
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