Year 2018, Volume 57 , Issue 3, Pages 125 - 130 2018-09-14

Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study
Histeroskopik septoplasti sonrası gebelik sonuçları ve farklı cerrahi tekniklerin karşılaştırılması: Retrospektif kohort çalışma

Deniz ŞİMŞEK [1] , Çağrı GÜVEN [2] , Çağdaş ŞAHİN [3] , Ali AKDEMİR [4] , Ahmet Mete ERGENOĞLU [5] , Ahmet Özgür YENİEL [6] , Fatih ŞENDAĞ [7]


Aim: Uterine septum affects a large proportion of women, especially patients with recurrent abortion. Hysteroscopic septoplasty is a novel and minimally invasive method for its treatment. Pregnancy rates after hysteroscopy vary in different studies. We aimed to evaluate pregnancy outcomes after hysteroscopic septoplasty and to compare the beneficial effects of different hysteroscopic techniques.

Materials and Methods: Patients undergoing hysteroscopic septoplasty between 2007 and 2013 in Ege University were retrospectively reviewed. Patients’ pregnancy outcomes were followed-up by using the university’s registry system and telephone interviews. Live birth rates and miscarriages were determined. Different surgical techniques (resectoscope, cold scissors) were compared regarding live birth ratios.

Results: One hundred twenty two patients were included in this study. Ninety-four pregnancies occurred with an overall pregnancy rate of 77%. Seventy nine live births and 15 abortions had occurred. Sixty-six women (54%) gave at least one live birth. Hysteroscopic septoplasty was performed in 72 (59%) and 50 (41%) patients using resectoscope and cold scissors with 5mm hysteroscope, respectively. Fourty two (58%) of patients undergoing septoplasty by resectoscope and 24 patients (48%) of patients undergoing septoplasty by cold scissors group had a live birth. There was no statistically significant difference among the pregnancy outcomes of the two surgical techniques.

Conclusion: Hysteroscopic septoplasty is a safe, effective and minimally invasive method for uterine septum treatment. There is no significant difference in the live birth rates according to whether the resectoscope or cold scissors were used. Infertile patients with uterine septum should be offered the option of hysteroscopy which is feasible with low complication rates and high pregnancy rates.

Amaç: Uterin septum kadınların büyük bir kısmını, özellikle tekrarlayan düşüğü olan hastaları etkilemektedir. Histeroskopik septoplasti tedavi için yararlı ve minimal invaziv bir tekniktir. Histeroskopi sonrası gebelik oranları değişik çalışmalarda değişkenlik göstermektedir. Çalışmamızda histeroskopik septoplasti sonrası gebelik sonuçları ve farklı histeroskopik tekniklerin yararlı etkilerini karşılaştırmayı amaçladık.

Gereç ve Yöntem: Ege Üniversitesinde 2007-2013 tarihleri arasında histeroskopik septoplasti gerçekleştirilen hastalar retrospektif olarak tarandı. Hastaların gebelik sonuçları üniversite bilgi sistemi ve telefon görüşmeleri ile takip edildi. Canlı doğum oranları ve düşükler değerlendirilmeye alındı. Farklı cerrahi teknikler (rezektoskop, soğuk makas) canlı doğum oranları baz alınarak karşılaştırıldı.

Bulgular: Yüz yirmi iki hasta çalışmaya dahil edildi. Doksan dört gebelik %77 oran ile gerçekleşti. Yetmiş dokuz canlı doğum ve 15 düşük saptandı. Altmış dört (%54) kadın en az bir canlı doğum gerçekleştirmişti. Histeroskopik septoplasti; 72 (%59) hastada rezektoskop, 50 (%41) hastada 5 mm histeroskop ve soğuk makas kullanılarak gerçekleştirildi. Rezektoskop ile işlem gören hastalardan 42’sinde (%58) ve soğuk makas ile gerçekleştirilen hastalardan 24’ünde (%48) canlı doğum gerçekleşti. Cerrahi tekniklere göre canlı doğum oranları karşılaştırıldığında istatistiksel anlamlı fark saptanmadı.
Sonuç: Histeroskopik septoplasti; uterin septum tedavisinde güvenli, yararlı ve minimal invaziv bir yöntemdir. Rezektoskop ve soğuk makas kullanımına göre canlı doğum oranları arasında istatistiksel anlamlı fark saptanmamıştır. Uterin septuma sahip infertil hastalara histeroskopi seçeneği düşük komplikasyon oranları ve yüksek gebelik sonuçları ile önerilebilir.
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Orcid: 0000-0002-0975-9457
Author: Deniz ŞİMŞEK (Primary Author)
Institution: Ahlat State Hospital, Clinic of Obstetrics and Gynecology, Bitlis
Country: Turkey


Orcid: 0000-0002-1559-0600
Author: Çağrı GÜVEN
Institution: Denizli State Hospital, Clinic of Obstetrics and Gynecology, Denizli
Country: Turkey


Orcid: 0000-0001-7346-3987
Author: Çağdaş ŞAHİN
Institution: Ege University Faculty of Medicine, Department of Obstetrics and Gynecology, İzmir
Country: Turkey


Orcid: 0000-0001-8723-5889
Author: Ali AKDEMİR
Institution: Ege University Faculty of Medicine, Department of Obstetrics and Gynecology, İzmir
Country: Turkey


Orcid: 0000-0003-2775-7911
Author: Ahmet Mete ERGENOĞLU
Institution: Ege University Faculty of Medicine, Department of Obstetrics and Gynecology, İzmir
Country: Turkey


Orcid: 0000-0002-5604-047X
Author: Ahmet Özgür YENİEL
Institution: Ege University Faculty of Medicine, Department of Obstetrics and Gynecology, İzmir
Country: Turkey


Orcid: 0000-0001-9200-7469
Author: Fatih ŞENDAĞ
Institution: Ege University Faculty of Medicine, Department of Obstetrics and Gynecology, İzmir
Country: Turkey


Dates

Application Date : May 20, 2017
Acceptance Date : June 16, 2017
Publication Date : September 14, 2018

Bibtex @research article { etd416612, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2018}, volume = {57}, pages = {125 - 130}, doi = {10.19161/etd.416612}, title = {Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study}, key = {cite}, author = {Şi̇mşek, Deniz and Güven, Çağrı and Şahi̇n, Çağdaş and Akdemi̇r, Ali and Ergenoğlu, Ahmet Mete and Yeni̇el, Ahmet Özgür and Şendağ, Fatih} }
APA Şi̇mşek, D , Güven, Ç , Şahi̇n, Ç , Akdemi̇r, A , Ergenoğlu, A , Yeni̇el, A , Şendağ, F . (2018). Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study . Ege Tıp Dergisi , 57 (3) , 125-130 . DOI: 10.19161/etd.416612
MLA Şi̇mşek, D , Güven, Ç , Şahi̇n, Ç , Akdemi̇r, A , Ergenoğlu, A , Yeni̇el, A , Şendağ, F . "Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study" . Ege Tıp Dergisi 57 (2018 ): 125-130 <http://egetipdergisi.com.tr/en/pub/issue/39681/416612>
Chicago Şi̇mşek, D , Güven, Ç , Şahi̇n, Ç , Akdemi̇r, A , Ergenoğlu, A , Yeni̇el, A , Şendağ, F . "Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study". Ege Tıp Dergisi 57 (2018 ): 125-130
RIS TY - JOUR T1 - Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study AU - Deniz Şi̇mşek , Çağrı Güven , Çağdaş Şahi̇n , Ali Akdemi̇r , Ahmet Mete Ergenoğlu , Ahmet Özgür Yeni̇el , Fatih Şendağ Y1 - 2018 PY - 2018 N1 - doi: 10.19161/etd.416612 DO - 10.19161/etd.416612 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 125 EP - 130 VL - 57 IS - 3 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.416612 UR - https://doi.org/10.19161/etd.416612 Y2 - 2017 ER -
EndNote %0 Ege Tıp Dergisi Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study %A Deniz Şi̇mşek , Çağrı Güven , Çağdaş Şahi̇n , Ali Akdemi̇r , Ahmet Mete Ergenoğlu , Ahmet Özgür Yeni̇el , Fatih Şendağ %T Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study %D 2018 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 57 %N 3 %R doi: 10.19161/etd.416612 %U 10.19161/etd.416612
ISNAD Şi̇mşek, Deniz , Güven, Çağrı , Şahi̇n, Çağdaş , Akdemi̇r, Ali , Ergenoğlu, Ahmet Mete , Yeni̇el, Ahmet Özgür , Şendağ, Fatih . "Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study". Ege Tıp Dergisi 57 / 3 (September 2018): 125-130 . https://doi.org/10.19161/etd.416612
AMA Şi̇mşek D , Güven Ç , Şahi̇n Ç , Akdemi̇r A , Ergenoğlu A , Yeni̇el A , Şendağ F . Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study. ETD. 2018; 57(3): 125-130.
Vancouver Şi̇mşek D , Güven Ç , Şahi̇n Ç , Akdemi̇r A , Ergenoğlu A , Yeni̇el A , Şendağ F . Reproductive outcomes after hysteroscopic septoplasty and comparison of different surgical techniques: A retrospective cohort study. Ege Tıp Dergisi. 2018; 57(3): 125-130.

Authors of the Article
Deniz ŞİMŞEK [1]
Çağrı GÜVEN [2]
Çağdaş ŞAHİN [3]
Ali AKDEMİR [4]
Ahmet Mete ERGENOĞLU [5]
Ahmet Özgür YENİEL [6]
Fatih ŞENDAĞ [7]