{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:40:22Z","timestamp":1789170022099,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T00:00:00Z","timestamp":1763164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T00:00:00Z","timestamp":1763164800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze the incidence and characteristics of postoperative intrauterine adhesions (IUAs) and septal remnants (SRs) following hysteroscopic septum resection performed without anti\u2010adhesion adjuvant therapies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients with a septate uterus (U2a\/U2b, ESHRE\/ESGE classification) who underwent hysteroscopic septum resection without anti\u2010adhesion adjuvant therapies between 2014 and 2023. Only patients with second\u2010look hysteroscopy performed within 1\u20136\u2009months postoperatively were included. Patients with pre\u2010existing intrauterine adhesions, submucosal fibroids, prior septum resection, or adjuvant therapy use were excluded. Primary outcomes were the incidence, location, and type of postoperative IUAs and SRs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 285 patients were included in the analysis. Postoperative IUAs were identified in two (0.7%) cases. SRs were observed in 98 (34.4%) patients, with 21 (7.4%) cases measuring &lt;5\u2009mm, 76 (26.7%) cases between 5\u201310\u2009mm, and one (0.4%) case exceeding 10\u2009mm. Among the 196 patients who attempted conception postoperatively, 161 (82.1%) achieved pregnancy. A total of 39 (24.2%) patients experienced miscarriage, three (1.9%) had an ectopic pregnancy, and live birth was achieved in 114 (58.2%) cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hysteroscopic septum resection without anti\u2010adhesion therapies resulted in a low incidence of IUA and frequent SRs. Routine second\u2010look hysteroscopy may aid early detection and treatment. Further studies are needed to clarify its role in optimizing reproductive outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70672","type":"journal-article","created":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T08:45:39Z","timestamp":1763196339000},"page":"774-781","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Incidence of postoperative intrauterine adhesions and septal remnants following hysteroscopic septum resection: A retrospective study"],"prefix":"10.1002","volume":"173","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0369-615X","authenticated-orcid":false,"given":"Yannick","family":"Hurni","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproduction, Dexeus Mujer Dexeus University Hospital  Barcelona Spain"},{"name":"Department of Pediatrics, Obstetrics, Gynecology and Preventive Medicine and Public Health, Faculty of Medicine Universidad Autonoma Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"La Torre","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproduction, Dexeus Mujer Dexeus University Hospital  Barcelona Spain"},{"name":"Division of Obstetrics and Gynecology, Department of Experimental and Clinical Biomedical Sciences \u201cMario Serio\u201d University of Florence, AOU Careggi  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Saiz\u2010Vivo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproduction, Dexeus Mujer Dexeus University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Garc\u00eda\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproduction, Dexeus Mujer Dexeus University 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