Michiel Simons, M. D. , Tjalina W. O. Hamerlynck, M. D

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Presentation transcript:

Hysteroscopic morcellator system can be used for removal of a uterine septum Michiel Simons, M.D., Tjalina W.O. Hamerlynck, M.D., Leyla Abdulkadir, M.D., Benedictus C. Schoot, M.D., Ph.D. Fertility and Sterility Volume 96, Issue 2, Pages e118-e121 (August 2011) DOI: 10.1016/j.fertnstert.2011.05.098 Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Diagnostic hysterosalpingogram revealing suspicion of either septate uterus (arrow) or bicornuate uterus. Fertility and Sterility 2011 96, e118-e121DOI: (10.1016/j.fertnstert.2011.05.098) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 2 (A) A large septum (arrow) is clearly present before hysteroscopic morcellation. (B) Using the HM, a large part of the septum has been removed completely without complications. Fertility and Sterility 2011 96, e118-e121DOI: (10.1016/j.fertnstert.2011.05.098) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Second-look ambulant hysteroscopy after 7 weeks revealed no signs of synechiae. Fertility and Sterility 2011 96, e118-e121DOI: (10.1016/j.fertnstert.2011.05.098) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 4 (A) Sagittal MR images show continuity of the uterine cavity (arrow) and presence of a bicornuate uterus (left cornus with small intramural myoma anteriorly). (B) Transversal MR images of the bicornuate uterus (arrows). Fertility and Sterility 2011 96, e118-e121DOI: (10.1016/j.fertnstert.2011.05.098) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 5 Control HSG after septum removal reveals no presence of a septum. Fertility and Sterility 2011 96, e118-e121DOI: (10.1016/j.fertnstert.2011.05.098) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions