New Ambulatory Hysteroscopic Septoplasty using Ballooning in a Woman with Complete Septate Uterus: A Case Report
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A 40-year-old G1 P0 L0 A1 woman was referred to our clinic with 6-year history of infertility. Before visiting the clinic, she had 3 cycles of In-Vitro Fertilization (IVF) procedures (2 cycles of Controlled Ovarian Stimulation-IVF and 1 cycle of frozen-thawed Embryo Transfer (ET)) at other clinic. She had medical history of abortion at early gestation following FET (frozen-thawed-ET). The patient had complete type of septate uterus, double cervix and longitudinal vaginal septum. Vaginal septotomy was done first and 1 month later, hysteroscopic septoplasty was followed using ballooning filled with dye. After septoplasty, we inserted ballooning and left for several days to compress septal endometrium on the septectomy area. All procedures were done in the ambulatory operating room without laparoscopy or admission. 3 months later, she had in vitro fertilization-embryo transfer (IVF-ET) and FET procedures in our clinic. She had successful pregnancy and now is at 22 weeks of gestation. New ambulatory septoplasty using dye-filled ballooning is easy, safe and minimally invasive surgery for treatment of complete septate uterus.
Abstract
A 40-year-old G1 P0 L0 A1 woman was referred to our clinic with 6-year history of infertility. Before visiting the clinic, she had 3 cycles of In-Vitro Fertilization (IVF) procedures (2 cycles of Controlled Ovarian Stimulation-IVF and 1 cycle of frozen-thawed Embryo Transfer (ET)) at other clinic. She had medical history of abortion at early gestation following FET (frozen-thawed-ET). The patient had complete type of septate uterus, double cervix and longitudinal vaginal septum. Vaginal septotomy was done first and 1 month later, hysteroscopic septoplasty was followed using ballooning filled with dye. After septoplasty, we inserted ballooning and left for several days to compress septal endometrium on the septectomy area. All procedures were done in the ambulatory operating room without laparoscopy or admission. 3 months later, she had in vitro fertilization-embryo transfer (IVF-ET) and FET procedures in our clinic. She had successful pregnancy and now is at 22 weeks of gestation. New ambulatory septoplasty using dye-filled ballooning is easy, safe and minimally invasive surgery for treatment of complete septate uterus.
참고문헌 (8)
- Chan YY, "The prevalence of congenital uterine anomalies in unselected and highrisk populations: A systematic review", Hum Reprod Update, 17, pp.761~771 (2011)[DOI]
- Chen SQ, "Management and reproductive outcome of complete septate uterus with duplicated cervix and vaginal septum: Review of 21 cases", Arch Gynecol Obstet, 287, pp.709~714 (2013)[DOI]
- Esmaeilzadeh S, "Reproductive outcome following hysteroscopic treatment of uterine septum", Mater Sociomed, 26, pp.366~371 (2014)[DOI]
- Fedele L, "Hysteroscopic metroplasty for septate uterus", Obstet Gynecol Clin North Am, 22, pp.473~489 (1995)
- Grimbizis GF, "Clinical implication of uterine malformations and hysteroscopic treatment results", Hum Reprod Update, 7, pp.161~174 (2001)[DOI]
- Niknejadi M, "Comparison of two dimensional and live three dimensional ultrasounds for the diagnosis of septated uterus", Iran J Reprod Med, 12, pp.547~554 (2014)
- Tajiri R, "Pregnancy after hysteroscopic metroplasty under laparoscopy in a woman with complete septate uterus: A case report", J UOEH, 37, pp.17~22 (2015)[DOI]
- The American Fertility Society, "The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions", Fertil Steril, 49, pp.944~955 (1988)[DOI]