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JOGC
Case Report| Volume 17, ISSUE 6, P580-582, June 1995

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Laparoscopically Monitored Hysteroscopic Resection of A Uterine Septum

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      Abstract

      Hysteroscopic resection of uterine septa has replaced metroplasty through laparotomy as the surgical treatment of choice in the management of uterine septum associated with recurrent pregnancy loss. However, the procedure is occasionally complicated by uterine perforation. Furthermore, the extent of resection is often a difficult decision. We report the surgical procedure used in treating a patient, and the technique used in resolving these difficulties. The recent literature is reviewed.

      Résumé

      La résection hystéroscopique transversale supplante maintenant la métroplastie par laparotomie comme méthode chirurgicale de choix dans le traitement des cloisons utérines provoquant des avortements spontanés à répétition. Toutefois, la méthode est occasionnellement compliquée par une perforation de l’utérus. En outre, le type de résection présente souvent un dilemme difficile à résoudre. Nous présentons la méthode chirurgicale utilisée pour traiter une patiente et la technique adoptée pour résoudre les difficultés. Nous passons enfin en revue les publications récentes sur la question.

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