{"id":383,"date":"2023-09-21T12:15:38","date_gmt":"2023-09-21T10:15:38","guid":{"rendered":"https:\/\/www.isteroscopia.it\/?page_id=383"},"modified":"2023-11-03T14:44:03","modified_gmt":"2023-11-03T13:44:03","slug":"utero-setto-metroplastica-isteroscopica","status":"publish","type":"page","link":"https:\/\/www.isteroscopia.it\/en\/isteroscopia-operativa\/utero-setto-metroplastica-isteroscopica\/","title":{"rendered":"Utero-septum Hysteroscopic Metroplasty"},"content":{"rendered":"
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Operative hysteroscopy<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Utero-septum Hysteroscopic Metroplasty<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Uterine septum is the most common uterine malformation and consists of the presence of a fibrous septum, most often with a mixed muscle-fibrous structure, that partially or completely divides the uterine cavity into two parts. May be associated with other malformations of the female genital apparatus (vaginal septum, double cervix, cervical septum)<\/strong> or other systems (urinary malformations, skeletal malformations endometriosis )<\/p>

The septum is formed during the development of the embryo and is therefore a congenital malformation:<\/p>

  • the septum uterus is present in 13% of miscarriages<\/li>
  • has a 46 % risk of causing miscarriages up to the 5th month, preterm deliveries and placental abruption due to reduced gestational capacity<\/li><\/ul>

    It is associated with dysmenorrhoea, dyspareunia, pelvic pain, infertility. Untreated it can lead to:<\/p>

    • miscarriage<\/li>
    • g.e.u. (extrauterine pregnancy)<\/li>
    • placental abruption<\/li>
    • breech or transverse presentation<\/li>
    • p.r.o.m. (premature rupture of membranes)\u00a0<\/li>
    • i.u.g.r. (fetal growth retardation)<\/li>
    • premature and\/or dystocic birth<\/li>
    • caesarean section<\/li>
    • post-partum haemorrhage and placental retention<\/li>
    • m.e.f. (endouterine fetal death)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      Mechanism of Action<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      • fibrous or mixed septum structure<\/li>
      • impaired development of the endometrium lining it<\/li>
      • abnormal vascularisation<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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        Diagnosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        1. hysteroscopy:<\/u><\/strong> only shows the 2 uterine haemicavae, the thickness and length of the septum, if any, but does not say whether it is a septum or a bicornuate uterus and does not display the fundus<\/li>
        2. eco3d:<\/u>\u00a0<\/strong>high diagnostic capacity. It allows the morphological study of the uterine fundus<\/li>
        3. diagnostic laparoscopy + hysteroscopic metroplasty<\/u><\/strong>would allow a definite differential diagnosis between septum and bicornuate uterus and direct visualisation of the uterine fundus. Laparoscopy can be avoided if the 3D ultrasound is performed by highly experienced sonographers<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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          Operational Technique:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          • It is performed strictly during the first 10 days of the menstrual cycle<\/li>
          • In partial septa, micro-perforates can be used and in some cases it can be performed on an outpatient basis<\/li>
          • In other cases, general anaesthesia and the use of miniresectors, which are easier to work with in confined spaces such as a septum, are indispensable.<\/li>
          • The percentage of live and full-term births increases from 30% to over 80%<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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            Isteroscopia Operativa Utero Setto Metroplastica Isteroscopica L’utero setto \u00e8 la pi\u00f9 frequente tra le malformazioni uterine e consiste nella presenza di un setto fibroso , pi\u00f9 spesso a struttura mista muscolo-fibrosa, che divide parzialmente o completamente la cavit\u00e0 uterina in 2 parti. Pu\u00f2 associarsi ad altre malformazioni dell’apparato genitale femminile (setto vaginale, doppia cervice uterina, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":370,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-383","page","type-page","status-publish","hentry"],"yoast_head":"\nDr. Pulcinella Ruggero | Utero Setto Metroplastica Isteroscopica<\/title>\n<meta name=\"description\" content=\"L\u2019utero setto \u00e8 la pi\u00f9 frequente tra le malformazioni uterine e consiste nella presenza di un setto fibroso..\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.isteroscopia.it\/en\/isteroscopia-operativa\/utero-setto-metroplastica-isteroscopica\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" 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