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Hysteroscopic septum resection of complete septate uterus with cervical duplication, sparing the double cervix in patients with recurrent spontaneous abortions or infertility Jian-Hua Wang, M.D., Kai-Hong XU, M.D., Jun Lin, M.D., Xue-Zhen Chen, M.D. Fertility and Sterility Volume 91, Issue 6, Pages (June 2009) DOI: /j.fertnstert Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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Figure 1 Transvaginal ultrasound of a complete septate uterus with cervical duplication. (A) 3D sonography of a normal uterus contour, a complete uterine septum, two separate endometrial cavities (arrows), and two cervices. (B) Sagittal hysterosonogram shows left uterine cavity and cervical canal (calipers). (C) Sagittal hysterosonogram shows right uterine cavity and cervical canal (calipers). (D) The two endometrial cavities of corpus uteri (arrows) on transverse images. (E) This further demonstrates two distinct endometrial cavities on transverse images. The arrows indicate the two endometrial cavities of isthmus. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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Figure 2 A schematic illustration of hysteroscopic resection of a uterine septum in a patient with a complete septate uterus and cervical duplication. (A) Bougie is inserted into the right cervix, and the septum is incised until the tip of the bougie is identified from the vicinity of left internal cervical os. (B) The remaining septum is cut with electroscission and electrocautery. (C) The uterine septum has been cut and the cavities are united. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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Figure 3 Hysteroscopic septum resection in women with complete septate uterus and cervical duplication. (A) Hysteroscopic septum resection for the first perforation is performed with a cutting knife electrode, at a point above the internal cervical os, using orientation bougie. (B) Appearance of the bougie (arrow) serves as a means of orientation for the first perforation of the corporal septum and to prevent leakage of the distending medium from the opposite hemicervix during hysteroscopic septum resection. (C and D) The uterine septum has been cut and the cavities are united; the arrows show right tubal ostium (C) and left tubal ostium (D). Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions
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