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  • Title: Hysteroscopic resection of uterus septus versus abdominal metroplasty.
    Author: Elchalal U, Schenker JG.
    Journal: J Am Coll Surg; 1994 Jun; 178(6):637-44. PubMed ID: 8193763.
    Abstract:
    The new hysteroscopic approach toward pregnancy loss associated with uterine septum offers several advantages over abdominal metroplasty. However, several safeguards should be taken: laparoscopic or sonographic guidance should accompany hysteroscopic metroplasty; postoperative HSG or hysteroscopy is recommended; there is no advantage of IUD insertion postoperatively; sequential estrogen-progesterone therapy postoperatively is optional, but of no proved benefit; a hysteroscopic approach toward uterine septum is the preferred procedure, even when laparotomy for treatment of pelvic endometriosis or intrapelvic adhesions is indicated, and, although its value is not established, a short perioperative cause of prophylactic antibiotics seems to be warranted.
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