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Similar Publications

Background: Usefulness of hysteroscopic metroplasty to improve reproductive outcomes is controversial and debated among reproductive specialists and, consequently, patients.

Methods: We performed a cross-sectional analysis to assess the quality, reliability, and level of misinformation in YouTube, Instagram, and TikTok videos about hysteroscopic metroplasty. Videos on each social network retrieved using "hysteroscopy" and "septate uterus" or "uterine septum" as keywords were assessed using Patient Education Materials Assessment Tool for audio-visual (PEMAT A/V) content, the modified DISCERN (mDISCERN), Global Quality Scale (GQS), Video Information and Quality Index (VIQI) and Misinformation assessment.

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Intraoperative ultrasound for uterine septum resection: a systematic review and meta-analysis.

Arch Gynecol Obstet

December 2024

Department of Maternal and Child Health and Urology, Sapienza University, Viale Regina Elena, 324, 00161, Rome, Italy.

Article Synopsis
  • Septate uterus is a common uterine malformation that can negatively impact fertility, prompting treatments like hysteroscopic metroplasty for affected individuals.
  • A systematic review and meta-analysis evaluated the effectiveness of intraoperative ultrasound monitoring during hysteroscopic metroplasty compared to other monitoring methods or no monitoring at all.
  • Results showed that intraoperative ultrasound significantly reduced the occurrence of residual septum greater than 10 mm and any residual septa, with similar procedure times and fewer complications, indicating potential benefits for future reproductive outcomes.
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Embryofetoscopy followed by hysteroscopic evacuation of a first trimester missed abortion in a woman with septate uterus.

Fertil Steril

November 2024

Obstetrics, Gynecology, and Reproductive Sciences Department, Minimally Invasive Gynecology Division, University of Miami, Miller School of Medicine, Miami, Florida.

Objective: To describe the technique of embryofetoscopy performed with 5Fr instruments with targeted evacuation of the gestational sac followed by a visual dilatation and curettage (D&C) using the hysteroscopic tissue removal system for the management of first trimester missed abortion in a patient with uterine septum.

Design: Video case-report.

Setting: University tertiary-care hospital.

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Enhancing precision in hysteroscopic surgery: The role of intraoperative ultrasound.

Eur J Obstet Gynecol Reprod Biol

November 2024

Department of Obstetrics and Gynecology, Hospital CUF Descobertas, Lisbon, Portugal; Department of Obstetrics and Gynecology, NOVA Medical School/Faculdade de Ciências Médicas, NOVA University of Lisbon, Lisbon, Portugal.

Article Synopsis
  • * Adding intraoperative ultrasound (IOUS) during these procedures helps doctors see everything better, making sure they can safely do their work.
  • * Using IOUS can lower risks, like avoiding accidents during surgery and ensuring they fix things completely in complicated cases.
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Hysteroscopic Management of Complete Vaginal and Uterine Septum with Double Cervix: Tips & Tricks for a Safe Surgery.

J Pediatr Adolesc Gynecol

August 2024

Division of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero - Universitaria di Bologna, Bologna, Italy; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.

Background: The septate uterus is the most common uterine abnormality, comprising 35% of all identified uterine malformations. According to the ESHRE/ESGE 2013 classification, the class U2bC2V1 is a rare congenital malformation characterized by a complete septate uterus with double cervix and nonobstructive longitudinal vaginal septum.

Study Objective: to share the decision-making process, the preoperative ultrasonographic assessment and our step-by-step hysteroscopic surgery technique to manage this complex malformation: including how to access the septate uterine cavity, the resection of the septum and its postoperative management.

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