Uterine septum dissection using mini-hysteroscopy with a bipotrode 5 Fr bipolar electrode versus monopolar resectoscopy with a unipolar knife: a randomized-controlled study

ObjectiveThe aim of this study was to compare two procedures for uterine septum dissection: resectoscopy with a monopolar knife versus small-diameter hysteroscopy fitted with a bipotrode 5 Fr reusable bipolar electrode. DesignRandomized-controlled study. SettingTertiary University Fertility Care Unit. Main outcome measuresOperative parameters (use of general anesthesia, cervical dilatation, operative time, volume of fluid used for uterine distention, complications, need for reseptoplasty) and reproductive outcome parameters (pregnancy, abortion, preterm delivery, live birth rate). Patients and methodsEighty-four patients with evident incomplete uterine septum and a history of recurrent miscarriage or unexplained infertility, undergoing hysteroscopic metroplasty from June 2005 to January 2010, were studied. Cases were allocated randomly to two groups. Group A included 42 women, who were subjected to the conventional hysteroscopic surgery using a resectoscope with a unipolar knife. Group B included 42 women who underwent resection with a 4-mm diameter hysteroscope with a bipotrode 5 Fr reusable bipolar electrode. The patients were followed up for 24 months. ResultsThere was no statistically significant difference between both groups in age, BMI, and duration of infertility. General anesthesia and cervical dilatation were used in all cases of group A and in four cases of group B. Both operative time and volume of the fluid used for uterine distention were statistically significa...
Source: Journal of Evidence-Based Women’s Health Journal Society - Category: OBGYN Tags: Original articles Source Type: research