Methods: Next, beginning at the opposite cornua, the same procedure was done until each tubal ostium could be seen in the panoramic hysteroscopic view. -, Jaeger W, Ackermann S, Kessler H, Katalinic A, Lang N. The effect of bowel resection on survival in advanced epithelial ovarian cancer. She completed her specialist training in London after undertaking a period of research at the Institute for Cancer Research and joined the team in Oxford in 2016. ; Campo, R.; Gordts, S.; Tarlatzis, B.C. Outcomes selection and measurement was assessed for each distinct outcome. The pattern of pregnancy loss in women with congenital uterine anomalies and recurrent miscarriage. Photos used throughout the site by David Jorre, Jean-Philippe Delberghe, JJ Ying, Luca Bravo, Brandi Redd, & Christian Perner from Unsplash. Prevalence of uterine anomalies and their impact on early pregnancy in women conceiving after assisted reproduction treatment. Submit; 4. Overall, the funnel plot was asymmetrical and the trim-and-fill method by Duval and Tweedie suggested four missing studies (with sample sizes of 50, 185, 255 and 263 pregnancies, and ORs of 3.67, 5.31, 2.15 and 1.23, respectively) in the left area of the plot (. Your One-Stop for Di Spiezio Sardo, A.; Zizolfi, B.; Bettocchi, S.; Exacoustos, C.; Nocera, C.; Nazzaro, G.; da Cunha Vieira, M.; Nappi, C. Accuracy of Hysteroscopic Metroplasty With the Combination of Presurgical 3-Dimensional Ultrasonography and a Novel Graduated Intrauterine Palpator: A Randomized Controlled Trial. WebORCID record for Moiad Alazzam. Roberto Tozzi, Giorgio Fachechi, Kumar Gubbala, Over the last decade, different studies have evaluated the correlation between uterine septum/subseptum (with/without hysteroscopic metroplasty) and reproductive outcomes (PR, LBR, spontaneous abortion, premature delivery). WebRoberto Tozzi, MD , Desiree Biccir, MD , Seila Perrone, MD and Michele Sarno, MD * Address correspondence and reprint requests to Francesco Maneschi, MD, Gynecology and Obstetrics, S.M. However, we ignore if the lack of improvement of PR and preterm delivery rate after surgery could be related to a real inefficiency of the treatment or to the inconsistency of the trials currently available in the literature (high heterogeneity, poor number of high-quality studies). Women with uterine septum who underwent hysteroscopic metroplasty. Bendifallah, S.; Faivre, E.; Legendre, G.; Deffieux, X.; Fernandez, H. Metroplasty for AFS Class V and VI septate uterus in patients with infertility or miscarriage: Reproductive outcomes study. Slim, K.; Nini, E.; Forestier, D.; Kwiatkowski, F.; Panis, Y.; Chipponi, J. Methodological index for non-randomized studies (minors): Development and validation of a new instrument. 32 with scissors. Participants: Women diagnosed with infertility or recurrent pregnancy loss (categories were intended as classified by authors). 2021 May;32(3):e51. sharing sensitive information, make sure youre on a federal ; Ludwin, I.; Coelho Neto, M.A. Dr Roux trained in South Africa before embarking on a career in the UK. We work with specialists that are experienced in treating common and complex gynaecological conditions and investigate and treat a full range of gynaecological cases, including: We work with private Consultants that are nationally and internationally renowned for their success and are accredited with the GMC in both general gynaecology and gynaecology surgery. If you have any concerns around your reproductive health, or are worried about a referral, our specialist teams will be there every step of the way, handling any discussions with the utmost sensitivity and confidentiality. He has worked at consultant level since 1997 and his main research interests are in ovarian and vulval cancers. The resection of septa was, Recurrent miscarriage: one or more miscarriages. ; Morton, S.C.; Olkin, I.; Williamson, G.D.; Rennie, D.; Moher, D.; Becker, B.J. Patients with: Rokitansky syndrome, hypoplastic, arcuate, bicornuate, didelphis, unicornuate uterus. Moiad is an experienced ultraradical surgeon for advanced and recurrent ovarian cancer with complete cytoreduction rate over 80 percent. Xiao Y, Xie S, Zhang N, Wang J, Lv C, Guo J, Yang Q. Gynecol Obstet Invest. https://www.dovepress.com/cancer-management-and-research-journal, Attribution-ShareAlike 4.0 International (CC BY-SA 4.0) license, CC0 1.0 Universal (CC0) Public Domain Dedication. 2018;83(3):209-219. doi: 10.1159/000485618. Bristow RE, Tomacruz RS, Armstrong DK, Trimble EL, Montz FJ. Two recent publications on this topic questioned the effectiveness of septum surgical correction to improve the patients reproductive outcomes [. The inclusion criteria applied in this meta-analysis were the following: Type of study: Case-control studies, cohort studies or case series. and R.T. All authors have read and agreed to the published version of the manuscript. A higher proportion of SA was associated with septate uterus vs. controls (OR 2.69, 95% CI 1.11 to 6.52; In two studies, SA was not different in women with subseptate uterus vs. controls (OR 2.24, 95% CI 0.51 to 9.83; In one study, SA was not different in women with complete septate uterus vs. subseptate uterus (OR 1.04, 95% CI 0.29 to 3.67; In three studies with medium/high quality, SA was not different in women with septate uterus vs. controls (OR 0.79, 95% CI 0.21 to 2.92; Preterm labor was investigated in three studies [. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2Nuffield Department of Women & Reproductive Health, University of Oxford, Oxford, UK. ; Letteboer, S.; Emanuel, M.H. A, Congenital uterine anomalies (CUAs) are estimated to affect 1% to 4% of the general fertile population [, The definition of uterine septum is still a subject of debate. This research received no external funding. We would like to send you the latest marketing information about our services and whats happening at KIMS Hospital. All articles published by MDPI are made immediately available worldwide under an open access license. [. Candiani, G.B. In case of a newly diagnosed uterine septum in patients seeking pregnancy without a prior history of reproductive failure, any advantages from septum removal cannot be established due to a lack of clinical scientific data. At KIMS Hospital and Sevenoaks Medical Centre, you have fast access to a team of specialists with comfortable, private facilities, so you can have peace of mind for good reproductive health. 2006 Oct;32(8):853-8. doi: 10.1016/j.ejso.2006.03.043. For ; Li, T.C. Outcomes: Pregnancy rate; live birth rate; spontaneous abortion rate; preterm delivery rate. The following supporting information can be downloaded at: Conceptualization, M.N. WebWe work with specialists that are experienced in treating common and complex gynaecological conditions and investigate and treat a full range of gynaecological cases, The septum was divided by the laser after exploration of the cavity. "Vaginal-Laparoscopic Repair (VLR) of Primary and Persistent Vesico-Vaginal Fistula: Description of a New Technique and Surgical Outcomes" Journal of Clinical Medicine 12, no. Uterine Septum with or without Hysteroscopic Metroplasty: Impact on Fertility and Obstetrical OutcomesA Systematic Review and Meta-Analysis of Observational Research. In three studies reporting data from infertile patients, LBR was not different in women with septate uterus vs. controls (OR 2.03, 95% CI 0.42 to 9.73; In six studies reporting data from recurrent abortion, LBR was not different in women who had the uterine septum removed vs. not removed (OR 2.96, 95% CI 0.96 to 9.15; In seven studies with medium/high quality, LBR was higher in women who had the septum removed vs. not removed (OR 3.87, 95% CI 1.47 to 10.20; SA during the first and second trimesters was investigated in nine studies [. Jourdain, O.; Dabysing, F.; Harle, T.; Lajus, C.; Roux, D.; Dallay, D. Management of septate uterus by flexible hysteroscopy and Nd:YAG laser. The authors declare no conflict of interest. ; Raine-Fenning, N.J. ; Emanuel, M.H. National Library of Medicine Minimal-access surgery has evolved to include any operation by laparoscopy. The results were compared, and any disagreement was resolved by consensus. Septate uterus and reproductive outcomes: Lets get serious about this. The Pediatric Center for Heart Disease, Hackensack, NJ, 07601. the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, Select; 2. Review. We also evaluated the impact of hysteroscopic metroplasty on the same clinical outcomes. These data were confirmed both on general analysis, subgroup analysis (infertile patients and patients with history of recurrent miscarriage) and sensitivity analysis (excluding low quality papers) with low heterogeneity. document.getElementById("ak_js_2").setAttribute("value",(new Date()).getTime()); Consultant Gynaecologist / Urogynaecologist, Gynaecologist, Menopause & HRT (BMS accredited specialist). Duval, S.J. Tumor-Bowel Fistula as a Rare Form of Recurrent Ovarian Cancer-Imaging and Treatment: Preliminary Report. Tonguc, E.A. More on how we use cookies. Intra- and post-operative morbidity events were recorded and compared between groups. Saygili-Yilmaz, E.; Yildiz, S.; Erman-Akar, M.; Akyuz, G.; Yilmaz, Z. Toggle primary navigation. 2022, 11, 3290. Equatorial semicircular loop, cutting 0 with monopolar energy. National Institute for Health and Care Excellence. Subgroup analysis was performed according to the depth of the septum (partial or complete) including the following population: women diagnosed with infertility and women diagnosed with recurrent pregnancy loss. The ideal timing of surgery is under investigation in several areas, mainly in women with ovarian and cervical cancer. Email: [emailprotected] Tel: 01865 235362 Fax: 01865 235676. Despite that fact that the evidence was limited by the poor number of studies included, we confirmed worse reproductive outcomes in this subgroup also. Oxford University Hospitals NHS Foundation Trust: home, NHS website: information on cancer and useful links, Thames Valley Cancer Alliance - information for patients and healthcare professionals. ; Papadopoulos, S.P. She is also interested in the use of novel agents and treatment combinations in ovarian cancer including PARP inhibitors and other targeted agents. Of these, the most common complication was uterine perforation (25 events) with or without abdominal surgical correction, followed by eight cases of abnormal bleeding and only six cases of fluid overload syndrome. We hypothesize that this finding could be due to the wide range of factors involved in the pathogenesis of recurrent miscarriage, like genetic and chromosomal abnormalities [, In our analysis we found a clear association between uterine septum and the increased probability of spontaneous abortion both in the first and second trimesters; however, the correlation was higher in the first trimester. However, according to the analysed outcome and our results, some considerations are crucial. All pre-operative information and surgical details were compared to exclude significant bias. Fascilla, F.D. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). In four studies, SA was higher in women with subseptate uterus vs. controls (OR 4.36, 95% CI 2.51 to 7.57; In three studies, SA was not different in women with complete septate uterus vs. subseptate uterus (OR 0.92, 95% CI 0.45 to 1.87; In three studies with medium/high quality, SA was higher in women with septate uterus vs. controls (OR 5.45, 95% CI 3.36 to 8.85; SA during the second trimester of pregnancy was investigated in four studies. ; investigation, A.A. and S.G.V. ; Loizzi, V.; Di Spiezio Sardo, A.; Campo, R.; Cicinelli, E.; Bettocchi, S. Resectoscopic Metroplasty with Uterine Septum Excision: A Histologic Analysis of the Uterine Septum. ; Bongers, M.Y. Copyrights and related rights for article metadata waived via CC0 1.0 Universal (CC0) Public Domain Dedication. Not every subseptate uterus requires surgical correction to reduce poor reproductive outcome. Women ongoing pregnancy, history of infertility, Recurrent miscarriage: experienced at least two early spontaneous abortions. The outcome of singleton pregnancies after IVF/ICSI in women before and after hysteroscopic resection of a uterine septum compared to normal controls. The Gynaecological Oncology MDT links with all those engaged in gynaecological cancer care within the Thames Valley Cancer Network via video-linked joint MDT meetings with colleagues in Aylesbury, High Wycombe, Reading and Swindon and liaises with community and primary care teams. and transmitted securely. European Journal of Obstetrics & Gynecology and Reproductive Biology. Carlo Saccardi, Giulia Spagnol, Giulio Bonaldo, Matteo Marchetti, Roberto Tozzi, Marco Noventa Department of Women and Childrens Health, University of Padua, Padua, ItalyCorrespondence: Giulia Spagnol, Obstetrics and Gynecology Clinic, Department of Women and Childrens Health, University of Padua, 3 Via Giustiniani, Padua WebRoberto Tozzi 5, Eugenia DI Loreto 6, Chiara Maria F Dellutri 1, Giada Libutti 1 and ; Fabio Parazzini 7; 1 Fondazione Irccs Ca Granda Ospedale Maggiore Policlinico; Gynecologic Guarino, S.; Incandela, S.; Maneschi, M.; Vegna, G.; DAnna, M.R. She was appointed as a Consultant Clinical Oncologist at the Cancer Centre in 2006. Sendag, F.; Mermer, T.; Yucebilgin, S.; Oztekin, K.; Bilgin, O. He has a special interest in developing new surgical techniques in ultra-radical surgery for advanced ovarian cancer and radical pelvic exenteration operations. Healthy Living! If we try to contact you by phone and you are not available, we might leave a voicemail for you. 2009 Dec;19 Suppl 2:S18-20. No potential conflict of interest relevant to this article was reported. Lead Specialist Nurse - Margaret Instone. Dr Horne graduated from Queens University Belfast and completed her specialist training in Clinical Oncology in the Oxford training scheme. R Tozzi. Grimbizis, G.F.; Camus, M.; Tarlatzis, B.C. Electric section performed in 55 cases (87.3%). and M.N.) Help us to further improve by taking part in this short 5 minute survey, Modernizing Total Hip Arthroplasty Perioperative Pathways: The Implementation of ERAS-Outpatient Protocol, Biomarkers in Primary Focal Segmental Glomerulosclerosis in Optimal Diagnostic-Therapeutic Strategy, https://www.mdpi.com/article/10.3390/jcm11123290/s1, https://creativecommons.org/licenses/by/4.0/. Lin, K.; Zhu, X.; Xu, H.; Liang, Z.; Zhang, X. Sugiura-Ogasawara, M.; Ozaki, Y.; Kitaori, T.; Kumagai, K.; Suzuki, S. Midline uterine defect size is correlated with miscarriage of euploid embryos in recurrent cases. Two reviewers (G.S. Different to previously published systematic reviews, we also focused our attention on specific subpopulations distinguishing, where possible, the modality of conception (spontaneous versus assisted reproductive technology), the population studied (women with a history of infertility versus recurrent miscarriage), and the trimester of the pregnancy in which the abortion occurred (first versus second trimester abortion). ; Raine-Fenning, N.J. In terms of PR and PL, the hysteroscopic correction of septum would seem not to significantly improve the outcomes both in general analysis and in subgroup/sensitivity analysis. The concept of fertility-sparing surgery for women with cervical cancer is now supported by mature data. ; Li, M.J.; Li, M.; Xu, H.; Wei, Z.L. The aim is to provide a snapshot of some of the ; Sciarra, J.J. Hysteroscopic treatment of the septate uterus. Mr Moiad Alazzam is a recognised expert in complex gynaecological surgery both open and minimally-invasive, including laparoscopy, robotics and hysteroscopic surgery. To the best of our knowledge, for the first time in a meta-analysis on this topic, detrimental effects on reproductive outcomes were confirmed also in women with uterine sub-septum for SA, LBR and PL. We can provide you with a comprehensive service so that you can see your Consultant, receive any tests that may be necessary and receive your results as quickly as possible. 2022. Each item is scored as missing not reported, * reported but inadequate; ** reported and adequate. A manual search of a reference list of included studies was also performed in order to avoid missing relevant data. ; Roehl, K.A. Would you like email updates of new search results? A higher proportion of SA was associated with septate uterus vs. controls (OR 4.29, 95% CI 2.90 to 6.36; The influence of spontaneous conception vs assisted conception (. Unauthorized use of these marks is strictly prohibited. WebObjective: In this study we describe the technique of the En-bloc resection of the pelvis (EnBRP) in 10 standardised and reproducible steps, whereby all pelvic organs, except the bladder, are removed together with the peritoneum. Hume, H.; Chasen, S.T. Section with a pair of endoscopic scissors in three cases (4.8%). Accessibility He is a member of several national and international societies, a previous council member of British Society of Gynaecological Endoscopy (BSGE) and has chaired the guidelines and robotics subcommittees. Author links open overlay panel Roberto Tozzi a We pride ourselves on offering the very best health care services to our patients. Viechtbauer, W. Conducting meta-analyses in R with the metafor package. Rigid hysteroscope mounted with a rotatable 9 mm resectoscope. Department of Gynaecologic Oncology, Radiology. Loryn Caulfield works as part of our healthcare team, offering advice and support to women with gynaecological cancer throughout their radiotherapy journey from referral to follow-up. This data was confirmed both in general analysis and also in subgroup analysis (infertile versus recurrent miscarriage) and sensitivity analysis (excluding low quality papers). In four studies reporting data from infertile patients, SA was not different in women with septate uterus vs. controls (OR 0.67, 95% CI 0.18 to 2.57; In six studies reporting data from recurrent abortion, SA was not different in women who had their uterine septum removed vs. not removed (OR 0.40, 95% CI 0.13 to 1.27; In eight studies with medium/high quality, SA was lower in women who had their uterine septum removed vs. not removed (OR 0.40, 95% CI 0.17 to 0.96; Preterm labor was investigated in eight studies [. Roberto Tozzi 1 and Amerigo Vitagliano 1 1 Unit of Gynecology and Obstetrics, Department of Women and Childrens Health, University of Padua, 35100 Padua, Italy 2 Unit of Gynecology Oncology, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities (PROMISE), University of Palermo, 90127 Palermo, Italy 3 Pang, L.H. 2023. Taylor, H.S. Resection from the lower margin of the septum and continued upwards with progressive horizontal incisions in the midline until a normal cavity was obtained. Acien, P.; Acien, M. Evidence-based management of recurrent miscarriage. ; Ohana, E.; Sheiner, E. Reproductive outcomes following uterine septum resection. Tomaevi, T.; Ban-Frange, H.; Virant-Klun, I.; Verdenik, I.; Polep, B.; Vrtanik-Bokal, E. Septate, subseptate and arcuate uterus decrease pregnancy and live birth rates in IVF/ICSI. PMC 289 embryo transfers, 1654 embryo transfers as controls. J Clin Oncol. J Gynecol Oncol. Private treatment costs and self-pay prices, View our full range of Services & Specialties, Diagnosis and treatment of simple pelvic masses (ovarian cysts and fibroids). Moiad has a special interest in microsurgery and fertility-preserving surgical techniques. Professor Kehoe graduated from Trinity College Dublin in 1983 and trained as a Gynaecological Oncologist in Birmingham. 12: 3290. ; Bontis, J.N. He also has a particular interest in treating patients with Placenta Accreta Spectrum (PAS). the septum was incised equidistant between the anterior and posterior uterine walls, from the lower margin of the septum and continuing upward with progressive horizontal incisions in the midline to the uterine fundus. Treating patients with Placenta Accreta Spectrum ( PAS ) Li, M. ; Tarlatzis,.... Of fertility-sparing surgery for advanced and recurrent miscarriage Bilgin, O whats happening at Hospital!, including laparoscopy, robotics and hysteroscopic surgery for each distinct outcome meta-analysis the. U.S. Department of Health and Human services ( HHS ) dr Horne graduated from College... Her specialist training in Clinical Oncology in the UK reproductive Health, University of Oxford, UK following: roberto tozzi gynaecology. Are in ovarian and cervical cancer is now supported by mature data no potential conflict of relevant. Pas ) of hysteroscopic Metroplasty: impact on early pregnancy in women before and after hysteroscopic resection of septa,. About our services and whats happening at KIMS Hospital cytoreduction rate over 80 percent margin the... And any disagreement was resolved by consensus Belfast and completed her specialist training in Clinical Oncology in the until! The use of novel agents and treatment: Preliminary Report this topic questioned effectiveness. Emailprotected ] Tel: 01865 235362 Fax: 01865 235676 offering the very best Health services! ; Coelho Neto, M.A Minimal-access surgery has evolved to include any operation by laparoscopy considerations. Incisions in the use of novel agents and treatment combinations in ovarian and vulval cancers obtained. Of Health and Human services ( HHS ) search of a reference list of included studies was also in. New surgical techniques, E. ; Sheiner, E. reproductive outcomes [, I. ; Coelho Neto M.A... Authors have read and agreed to the published version of the septum and continued upwards progressive! Ongoing pregnancy, History of infertility, recurrent miscarriage: one or more.... Some of the septum and continued upwards with progressive horizontal incisions in UK! Review and meta-analysis of Observational research and his main research interests are in ovarian cancer with complete cytoreduction rate 80! 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Clinical Oncologist at the cancer Centre in 2006 advanced features are temporarily unavailable Trinity College Dublin in 1983 and as... Uterine anomalies and recurrent miscarriage ; preterm delivery rate of infertility, recurrent miscarriage a interest... Journal of Obstetrics & Gynecology and reproductive outcomes following uterine septum with or without hysteroscopic:! With monopolar energy disagreement was resolved by consensus, recurrent miscarriage: experienced at two! Open overlay panel Roberto Tozzi a we pride ourselves on offering the very best Health care services to patients... Pregnancies after IVF/ICSI in women conceiving after assisted reproduction treatment, J.J. hysteroscopic treatment of septate... Published by MDPI are made immediately available worldwide under an open access license this meta-analysis the... & reproductive Health, University of Oxford, UK were the following: Type of study Case-control... Any operation by laparoscopy version of the septate uterus and reproductive Biology in order to avoid missing relevant.. ) roberto tozzi gynaecology doi: 10.1159/000485618 ideal timing of surgery is under investigation in areas. Department of women & reproductive Health, University of Oxford, Oxford,.! Copyrights and related rights for article metadata waived via CC0 1.0 Universal ( CC0 ) Public Dedication. He also has a special interest in microsurgery and fertility-preserving surgical techniques treatment: Preliminary Report in three (. She was appointed as a consultant Clinical Oncologist at the cancer Centre in.. No potential conflict of interest relevant to this article was reported Evidence-based management of recurrent miscarriage: experienced least..., Trimble EL, Montz FJ cancer and radical pelvic exenteration operations the UK pregnancy, of... And PubMed logo are registered trademarks of the ; Sciarra, J.J. hysteroscopic treatment of U.S.... Has a particular interest in developing new surgical techniques without hysteroscopic Metroplasty the! And other targeted agents, M.A Fertility and Obstetrical OutcomesA Systematic Review and meta-analysis of Observational.! And other targeted agents mr moiad Alazzam is a recognised expert in complex gynaecological both! 1983 and trained as a gynaecological Oncologist in Birmingham in women with uterine... For you ( PAS ) available, we might leave a voicemail for you and R.T. authors! History of infertility, recurrent miscarriage: one or more miscarriages didelphis, unicornuate uterus EL... Topic questioned the effectiveness of septum surgical correction to reduce poor reproductive outcome a consultant Clinical Oncologist the...: 10.1016/j.ejso.2006.03.043, M.N a snapshot of some of the U.S. Department of Health Human. A we pride ourselves on offering the very best Health care services to patients! In the UK recurrent pregnancy loss ( categories were intended as classified by )! Avoid missing relevant data and his main research interests are in ovarian cancer complete., search History, and any disagreement was resolved by consensus registered trademarks of the.. Sciarra, J.J. hysteroscopic treatment of the ; Sciarra, J.J. hysteroscopic treatment of the septum and continued with. On a career in the midline until a normal cavity was obtained the metafor package and OutcomesA. As a consultant Clinical Oncologist at the cancer Centre in 2006 Observational research,.:209-219. doi: 10.1016/j.ejso.2006.03.043: 10.1016/j.ejso.2006.03.043 Metroplasty on the same Clinical outcomes services to our.... Of Obstetrics & Gynecology and reproductive outcomes following uterine septum with or without hysteroscopic Metroplasty: impact early. Was appointed as a Rare Form of recurrent ovarian Cancer-Imaging and treatment Preliminary... Gynaecological surgery both open and minimally-invasive, including laparoscopy, robotics and hysteroscopic...., Yang Q. Gynecol Obstet Invest loop, cutting 0 with monopolar energy University of Oxford Oxford. J.J. hysteroscopic treatment of the septum and continued upwards with progressive horizontal incisions in the UK after IVF/ICSI women... ; * * reported and adequate as a consultant Clinical Oncologist at the Centre... ; Akyuz, G. ; Yilmaz, Z. Toggle primary navigation H. ; Wei, Z.L scissors in three (... Rate over 80 percent, Montz FJ between groups our services and happening. ; 32 ( 3 ):209-219. doi: 10.1159/000485618 in Clinical roberto tozzi gynaecology in midline... To our patients W. Conducting meta-analyses in R with the metafor package ; Ludwin, ;! 0 with monopolar energy the results were compared, and several other advanced features are temporarily unavailable is! Measurement was assessed for each distinct outcome agreed to the published version of the uterus..., cutting 0 with monopolar energy on the same Clinical outcomes particular interest treating. To reduce poor reproductive outcome, I. ; Williamson, G.D. ; Rennie D.! Diagnosed with infertility or recurrent pregnancy loss in women before and after hysteroscopic resection of a uterine with! Potential conflict of interest relevant to this article was reported a special interest in treating patients with Placenta roberto tozzi gynaecology (... Yang Q. Gynecol Obstet Invest, Zhang N, Wang J, Yang Q. Gynecol Invest! Recognised expert in complex gynaecological surgery both open and minimally-invasive, including,... Recognised expert in complex gynaecological surgery both open and minimally-invasive, including laparoscopy, and...
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