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The Technique of Vaginal Septum as Uterine Septum: A New Approach for the Hysteroscopic Treatment of Vaginal Septum
- Publication Year :
- 2020
-
Abstract
- Study Objective To evaluate the outcomes of a new hysteroscopic technique for the treatment of a longitudinal vaginal septum. Design A retrospective study. Setting Arbor Vitae Center for Endoscopic Gynecology, Rome, Italy. Patients Thirty women who underwent hysteroscopic treatment for a vaginal septum. Intervention All enrolled patients underwent pelvic examination, hysteroscopy, and 2-dimensional ultrasound. In case of a diagnosis of a partial or complete uterine septum, magnetic resonance imaging or 3-dimensional ultrasound were performed, and surgical procedures were performed after diagnostic laparoscopy was used to better visualize the uterine fundus. All patients were treated with the technique using vaginal septum as uterine septum or the same methodology applied for a uterine septum. Measurements and Main Results The procedure was successfully accomplished in all patients, and longitudinal vaginal septa were totally resected. There were no perioperative complications, and in only 1 case, vaginal bleeding occurred because of an erroneous identification of the excision line that was easily remedied with coagulation by resectoscope. Dyspareunia has improved or completely disappeared in all patients. Conclusion The technique of vaginal septum as uterine septum for the resectoscope of a longitudinal vaginal septum appears to be safe and effective with good outcomes, even in terms of dyspareunia.
- Subjects :
- Adult
medicine.medical_specialty
Longitudinal vaginal septum
Hysteroscopy
Vaginal septum as uterine septum
Young Adult
Postoperative Complications
Pregnancy
medicine
Vaginal septum
Humans
Vaginal bleeding
Pelvic examination
Uterine septum
Retrospective Studies
medicine.diagnostic_test
business.industry
Ultrasound
Uterus
Pregnancy Outcome
Obstetrics and Gynecology
Perioperative
Plastic Surgery Procedures
medicine.disease
Magnetic Resonance Imaging
Surgery
Treatment Outcome
Dyspareunia
Vagina
Mullerian abnormalities
Female
Laparoscopy
medicine.symptom
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....0539cc95fa8b5be48c7b83ab26f452e7