COMPARATIVE ANALYSIS OF REPRODUCTIVE OUTCOMES AFTER CLASSICAL HYSTEROSCOPIC METROPLASTY AND A MODIFIED METHOD IN WOMEN WITH RPL-SYNDROM
DOI:
https://doi.org/10.11603/24116-4944.2024.1.14739Keywords:
intrauterine septum, hysteroscopic metroplasty, intrauterine adhesions, RPL-syndrome, infertility, miscarriage, mullerian anomaliesAbstract
The aim of the study - to conduct a comparative analysis of reproductive outcomes in women with RPL-syndrome after using modified and traditional electrosurgical hysteroscopic metroplasty.
Materials and Methods. 138 patients with primary miscarriage (RPL-syndrome) and/or premature birth participated in the study. The main group (1st сlinical) consisted of 88 patients with performed hysteroscopic metroplasty according to the proposed modified technique. The comparative group (2nd clinical) consisted of 50 patients who received surgical treatment according to the classical method of GM. The results regarding the onset of pregnancy and their completion were assessed by interviewing during consultations or according to survey data. Statistical analysis of the obtained results was carried out using the program «Primer Biostatistics» (USA).
Results and Discussion. In the main group, compared to the second group, the frequency of spontaneous miscarriages decreased by 3 times, the frequency of spontaneous pregnancies increased by 20%, and the total frequency of pregnancies and live births increased (p<0.05).
Conclusions. The obtained research results indicate the expediency of implementation and use of the modified hysteroscopic metroplasty method.
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