Object's details: Restoration of reproductive function in women with uterine septum and reproductive disorders using different types of metroplasty techniques and different types of electric

Provider:Akademicka Platforma Czasopism

Description

Title:
Restoration of reproductive function in women with uterine septum and reproductive disorders using different types of metroplasty techniques and different types of electric
Creator:
Yevseyeva, O.
Description:
The purpose: to compare the effectiveness of restoring reproductive function in women with uterine septum and reproductive disorders with various metroplasty techniques using monopolar and bipolar surgical energy. Material and methods. 153 patients with a uterine septum (group US) and reproductive disorders were under prospective observation, of which 75 patients (group M) underwent metroplasty using a monopolar hysteroresectoscope, 78 patients (group B) underwent a bipolar hysteroresectoscope. In groups M and B, 2 groups were allocated: group MD - 39 women who underwent hysteroscopic monopolar dissection of the uterine septum; group MR - 36 women who underwent hysteroscopic monopolar resection of the uterine septum; BD group - 37 women who underwent hysteroscopic bipolar dissection of the uterine septum; group BR - 41 women who underwent hysteroscopic bipolar resection of the uterine septum. The observation of operated women was carried out for 2 years after metroplasty. Results. When using various types of electrical surgical energy and various techniques for performing metroplasty in women with reproductive disorders against the background of the uterine septum, when using bipolar removal of the septum, the overall frequency of pregnancy termination by childbirth and term delivery was the highest and exceeded similar indicators: with monopolar incision 2.20 times (OR 13.30 [3.95–44.72], p<0.01) and 2.85 times (OR 16.20 [5.10–51.50], p < 0.01), with unipolar septum removal – 1.20 times (OR 2.40 [0.64-9.02], p > 0.05) and 1.37 times (OR 3.44 [1.06-11.20], p < 0.04), with bipolar incision of the septum - by 1.26 times (OR 3.43 [0.97-12.09], p < 0.05) and 1.35 times (OR 3.90 [1, 23-12.36], p < 0.02). The overall frequency of childbirth in women with initial infertility was the highest among patients with bipolar removal of the septum - 95.24% and exceeded the same indicator in women with monopolar incision of the septum (35.29%) by 2.70 times (OR 36.67 [3, 90-344.85], p < 0.01) and with bipolar dissection of the intersection (66.67%) by 1.43 times (OR 10.00 [1.07-93.44], p<0.04) and had no probable differences with those in patients with monopolar septum removal (81.25%) (p > 0.05). The total number of births in women with initial miscarriage after bipolar incision was 2.17 times higher than that after unipolar incision (78.95% vs. 36.36%; OR 4.50 [1.13-17.99], p < 0.04), with bipolar resection was 2.34 times greater than that with monopolar incision (85.00% versus 36.36%; OR 6.80 [1.54–30.08], p < 0.02). Conclusion. The technique of choice when performing hysteroresectoscopic metroplasty in women with uterine septum and reproductive disorders is bipolar removal of the septum, which leads to a probable increase in the termination of pregnancy by urgent delivery and live births both in the general group and in the group of patients with initial infertility.
Object availability:
free access
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0 ;
Prawa autorskie (c) 2023 O. Yevseyeva
Date:
2023.07.31
Type:
info:eu-repo/semantics/article;
info:eu-repo/semantics/publishedVersion
Language:
English
Source:
Journal of Education, Health and Sport; Vol. 42 No. 1 (2023); 147-160;
Journal of Education, Health and Sport; Tom 42 Nr 1 (2023); 147-160;
2391-8306
Format:
application/pdf
Publisher:
Nicolaus Copernicus University, Toruń, Poland
Relation: https://apcz.umk.pl/JEHS/article/view/46151/36463
Subject:
reproductive disorders;
uterine septum;
metroplasty;
bipolar energy;
monopolar energy;
reproductive results
Identifier: https://apcz.umk.pl/JEHS/article/view/46151
Data provider:
Akademicka Platforma Czasopism

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