Argon laser versus microscissors for hysteroscopic incision of uterine septa

Giovanni Battista Candiani, Paolo Vercellini, Luigi Fedele, Salvatore Garsia, Diana Brioschi, Laura Villa

Research output: Contribution to journalArticle

Abstract

We performed hysteroscopic metroplasty in 21 women with repeated abortion and subseptate uterus. The patients were randomly allocated to septal incision with the argon laser (group I, 10 subjects) or microscissors (group II, 11 subjects) to compare these instruments in terms of surgical feasibility and anatomic results. The mean operating time was 57% longer in group I than in group II (p = 0.001), the intra- and postoperative morbidity of the whole series was negligible, and the anatomic results at abdominal ultrasonography and hysteroscopy performed 2 months postoperatively were similar in the two groups. This study confirms that microscissors are the simplest, fastest, most effective, and least expensive instrument to correct a septate uterus. The complete agreement of the findings at follow-up hysteroscopy and ultrasonography suggest the use of the latter as the method of choice to check the surgical results.

Original languageEnglish
Pages (from-to)87-90
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume164
Issue number1 PART 1
DOIs
Publication statusPublished - 1991

Keywords

  • hysteroscopy
  • laser
  • recurrent abortion
  • Uterine malformations

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology

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