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• W3207907880 abstract "Study Objective To evaluate the reproductive outcome after hysteroscopic lateral metroplasty performed in women with T-shaped and unicornuate uterus not exposed to Diethylstilbestrol. Design Retrospective, observational study from 2017 to 2020. Setting Tertiary care center for reproductive medicine. Patients or Participants 604 patients of infertility were included in this series. 21 patients had T shaped uteri, diagnosed on USG and HSG with no exposure to Diethylstilbestrol in the womb, 2 patients had unicornuate uterus and a total of 23 patients were taken up for lateral metroplasty in OT setting. Interventions Specific history for exposure of the mother to Diethylstilbestrol was taken in every patient of T-shaped uterus. We performed the classical hysteroscopic technique by making the side wall incision on both the lateral uterine walls with Collins knife 3-4cm deep till we could see both the tubal ostia and a triangular uterine cavity from the internal OS. Measurements and Main Results We evaluated the reproductive outcome of lateral metroplasty done over 3 yrs with telephonic follow up for all the patients. 604 infertile patients were referred to our centre from 2017-2020. 23 patients were found to have a T-shaped tubular uterine cavity on HSG and Trans Vaginal Ultrasound examination. All underwent Lateral Metroplasty. 13 patients (56.5%) conceived within 12–24 months after surgery. Of these, 11patients had live births (9 carried to term and 2 had preterm deliveries at 34 weeks) and 2 had spontaneous abortions, 7 patients were delivered by cesarean section, 2 patients had full term normal delivery. 10 patients failed to conceive. Conclusion Hysteroscopic lateral metroplasty offers promising reproductive outcomes in T-shaped uteri and unicornuate uterus not exposed to Diethylstilbestrol. To evaluate the reproductive outcome after hysteroscopic lateral metroplasty performed in women with T-shaped and unicornuate uterus not exposed to Diethylstilbestrol. Retrospective, observational study from 2017 to 2020. Tertiary care center for reproductive medicine. 604 patients of infertility were included in this series. 21 patients had T shaped uteri, diagnosed on USG and HSG with no exposure to Diethylstilbestrol in the womb, 2 patients had unicornuate uterus and a total of 23 patients were taken up for lateral metroplasty in OT setting. Specific history for exposure of the mother to Diethylstilbestrol was taken in every patient of T-shaped uterus. We performed the classical hysteroscopic technique by making the side wall incision on both the lateral uterine walls with Collins knife 3-4cm deep till we could see both the tubal ostia and a triangular uterine cavity from the internal OS. We evaluated the reproductive outcome of lateral metroplasty done over 3 yrs with telephonic follow up for all the patients. 604 infertile patients were referred to our centre from 2017-2020. 23 patients were found to have a T-shaped tubular uterine cavity on HSG and Trans Vaginal Ultrasound examination. All underwent Lateral Metroplasty. 13 patients (56.5%) conceived within 12–24 months after surgery. Of these, 11patients had live births (9 carried to term and 2 had preterm deliveries at 34 weeks) and 2 had spontaneous abortions, 7 patients were delivered by cesarean section, 2 patients had full term normal delivery. 10 patients failed to conceive. Hysteroscopic lateral metroplasty offers promising reproductive outcomes in T-shaped uteri and unicornuate uterus not exposed to Diethylstilbestrol." @default.
• W3207907880 created "2021-10-25" @default.
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• W3207907880 date "2021-11-01" @default.
• W3207907880 modified "2023-09-27" @default.
• W3207907880 title "Reproductive Outcome after Hysteroscopic Lateral Metroplasty in Women with T-Shaped Uterus Not Exposed to Diethylstilbestrol" @default.
• W3207907880 doi "https://doi.org/10.1016/j.jmig.2021.09.247" @default.
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