{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T07:44:31Z","timestamp":1773733471793,"version":"3.50.1"},"reference-count":47,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmig.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Minimally Invasive Gynecology"],"published-print":{"date-parts":[[2009,9]]},"DOI":"10.1016\/j.jmig.2009.06.002","type":"journal-article","created":{"date-parts":[[2009,9,3]],"date-time":"2009-09-03T08:56:27Z","timestamp":1251968187000},"page":"554-561","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":36,"title":["New Outpatient Subclassification System for American Fertility Society Classes V and VI Uterine Anomalies"],"prefix":"10.1016","volume":"16","author":[{"given":"Giampietro","family":"Gubbini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attilio","family":"Di Spiezio Sardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Nascetti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Marra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marialuigia","family":"Spinelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Greco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Casadio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmine","family":"Nappi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jmig.2009.06.002_bib1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1055\/s-2006-931798","article-title":"Anatomic factors in recurrent pregnancy loss","volume":"24","author":"Devi Wold","year":"2006","journal-title":"Semin Reprod Med"},{"key":"10.1016\/j.jmig.2009.06.002_bib2","first-page":"1099","article-title":"Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening","volume":"98","author":"Woelfer","year":"2001","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jmig.2009.06.002_bib3","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1093\/humrep\/12.10.2277","article-title":"Reproductive impact of congenital uterine anomalies","volume":"12","author":"Raga","year":"1997","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2009.06.002_bib4","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1093\/oxfordjournals.humrep.a137860","article-title":"Reproductive performance of women with uterine malformations","volume":"8","author":"Acien","year":"1993","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2009.06.002_bib5","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1093\/oxfordjournals.humrep.a019588","article-title":"Incidence of Mullerian defects in fertile and infertile women","volume":"12","author":"Acien","year":"1997","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2009.06.002_bib6","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1093\/humupd\/dmn018","article-title":"Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal","volume":"14","author":"Saravelos","year":"2008","journal-title":"Hum Reprod Update"},{"key":"10.1016\/j.jmig.2009.06.002_bib7","unstructured":"Strassman P. Zeutralbl. f. Gynaecology. 31, 1322."},{"key":"10.1016\/j.jmig.2009.06.002_bib8","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/S0015-0282(16)44114-2","article-title":"M\u00fcllerian anomalies: a proposed classification","volume":"32","author":"Buttram","year":"1979","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib9","first-page":"1944","article-title":"The American Society for Reproductive Medicine classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian abnormalities, and intrauterine adhesions","volume":"49","author":"American Society for Reproductive Medicine","year":"1988","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib10","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1148\/radiol.2331020777","article-title":"Mullerian duct anomalies: imaging and clinical issues","volume":"233","author":"Troiano","year":"2004","journal-title":"Radiology"},{"key":"10.1016\/j.jmig.2009.06.002_bib11","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1016\/S0015-0282(16)54741-4","article-title":"Mullerian defects in women with normal reproductive outcome","volume":"56","author":"Simon","year":"1991","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0015-0282(99)00480-X","article-title":"The septate uterus: a review of management and reproductive outcome","volume":"73","author":"Homer","year":"2000","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib13","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.ejogrb.2006.12.001","article-title":"Small uterine septum is an important risk variable for preterm birth","volume":"135","author":"Toma\u017eevi\u010d","year":"2007","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.jmig.2009.06.002_bib14","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1093\/humrep\/deg030","article-title":"A comparative study of the morphology of congenital uterine anomalies in women with and without a history of recurrent first trimester miscarriage","volume":"18","author":"Salim","year":"2003","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2009.06.002_bib15","first-page":"167","article-title":"Incidence of congenital uterine anomalies in repeated reproductive wastage and prognosis for pregnancy after metroplasty","volume":"37","author":"Makino","year":"1992","journal-title":"Int J Fertil"},{"key":"10.1016\/j.jmig.2009.06.002_bib16","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1093\/oxfordjournals.humrep.a019242","article-title":"Residual uterine septum of less than 1 cm after hysteroscopic metroplasty does not impair reproductive outcome","volume":"11","author":"Fedele","year":"1996","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2009.06.002_bib17","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/S1074-3804(98)80085-6","article-title":"Hysteroscopic metroplasty","volume":"5","author":"Colacurci","year":"1998","journal-title":"J Am Assoc Gynecol Laparosc"},{"key":"10.1016\/j.jmig.2009.06.002_bib18","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/S1074-3804(05)60338-6","article-title":"Hysteroscopic findings in 344 women with recurrent spontaneous abortion","volume":"8","author":"Valli","year":"2001","journal-title":"J Am Assoc Gynecol Laparosc"},{"key":"10.1016\/j.jmig.2009.06.002_bib19","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1093\/humupd\/7.2.161","article-title":"Clinical implications of uterine malformations and hysteroscopic treatment results","volume":"7","author":"Grimbizis","year":"2001","journal-title":"Hum Reprod Update"},{"key":"10.1016\/j.jmig.2009.06.002_bib20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.fertnstert.2007.09.069","article-title":"The uterus and fertility","volume":"89","author":"Taylor","year":"2008","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib21","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1002\/(SICI)1097-0096(199711\/12)25:9<487::AID-JCU4>3.0.CO;2-J","article-title":"Detection of congenital m\u00fcllerian duct anomalies using three-dimensional ultrasound","volume":"25","author":"Wu","year":"1997","journal-title":"J Clin Ultrasound"},{"key":"10.1016\/j.jmig.2009.06.002_bib22","doi-asserted-by":"crossref","first-page":"2463","DOI":"10.1093\/humrep\/13.9.2463","article-title":"Routine use of saline hysterosonography in 500 consecutive, unselected, infertile women","volume":"13","author":"Hamilton","year":"1998","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2009.06.002_bib23","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1046\/j.1469-0705.1995.05040233.x","article-title":"Three-dimensional ultrasound for the assessment of uterine anatomy and detection of congenital anomalies: a comparison with hysterosalpingography and two-dimensional sonography","volume":"5","author":"Jurkovic","year":"1995","journal-title":"Ultrasound Obstet Gynecol"},{"key":"10.1016\/j.jmig.2009.06.002_bib24","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/S0015-0282(16)58147-3","article-title":"Congenital M\u00fcllerian anomalies: diagnostic accuracy of three-dimensional ultrasound","volume":"65","author":"Raga","year":"1996","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib25","doi-asserted-by":"crossref","unstructured":"Ghi T, Casadio P, Kuleva M, et\u00a0al. Accuracy of three-dimensional ultrasound in diagnosis and classification of congenital uterine anomalies [published online ahead of print August 8, 2008]. Fertil Steril. doi:10.1016\/j.fertnstert.2008.05.086.","DOI":"10.1016\/j.fertnstert.2008.05.086"},{"key":"10.1016\/j.jmig.2009.06.002_bib26","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1016\/j.fertnstert.2005.05.036","article-title":"The VCUAM (Vagina Cervix Uterus Adnex-associated Malformation) classification: a new classification for genital malformations","volume":"84","author":"Oppelt","year":"2005","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib27","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1055\/s-2000-13733","article-title":"Recurrent pregnancy loss: summary and clinical recommendations","volume":"18","author":"Lee","year":"2000","journal-title":"Semin Reprod Med"},{"key":"10.1016\/j.jmig.2009.06.002_bib28","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/S0301-2115(96)02639-5","article-title":"Uterine surgery by operative hysteroscopy","volume":"71","author":"Bacsk\u00f3","year":"1997","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.jmig.2009.06.002_bib29","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1016\/S0015-0282(99)00380-5","article-title":"Hysteroscopic metroplasty of the class Va uterus with preservation of the cervical septum","volume":"72","author":"Rock","year":"1999","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib30","doi-asserted-by":"crossref","first-page":"1675","DOI":"10.1016\/j.fertnstert.2003.10.035","article-title":"Reproductive outcome after hysteroscopic metroplasty in women with septate uterus and otherwise unexplained infertility","volume":"81","author":"Pabu\u00e7cu","year":"2004","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib31","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.1111\/j.1471-0528.1997.tb10982.x","article-title":"Ultrasound screening for congenital uterine anomalies","volume":"104","author":"Jurkovic","year":"1997","journal-title":"Br J Obstet Gynaecol"},{"key":"10.1016\/j.jmig.2009.06.002_bib32","unstructured":"Exaucostos C, Lazzarin N, Amadio A, et\u00a0al. Septate uterus: correlation of three-dimensional power Doppler sonography of the septum with histology of septal tissue after hysteroscopic metroplasty [abstract]. Presented at the 18th World Congress on Ultrasound in Obstetrics and Gynecology, Chicago, Illinois, August 24\u201328."},{"key":"10.1016\/j.jmig.2009.06.002_bib33","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1097\/00006250-198609000-00023","article-title":"Comparison between abdominal and hysteroscopic metroplasty","volume":"68","author":"Fayez","year":"1986","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jmig.2009.06.002_bib34","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1016\/0002-9378(87)90339-5","article-title":"Hysteroscopic management of recurrent abortion caused by septate uterus","volume":"156","author":"March","year":"1987","journal-title":"Am J Obstet Gynecol"},{"issue":"suppl","key":"10.1016\/j.jmig.2009.06.002_bib35","first-page":"52","article-title":"The significance of hysteroscopic treatment of congenital uterine malformations","volume":"4","author":"Colacurci","year":"2001","journal-title":"Reprod Biomed Online"},{"key":"10.1016\/j.jmig.2009.06.002_bib36","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/0301-2115(96)02417-7","article-title":"Reproductive outcome after hysteroscopic metroplasty","volume":"66","author":"Colacurci","year":"1996","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.jmig.2009.06.002_bib37","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1016\/S1297-9589(01)00228-4","article-title":"Septate uterus and reproduction disorders: current results of hysteroscopic septoplasty","volume":"29","author":"Zabak","year":"2001","journal-title":"Gynecol Obstet Fertil"},{"key":"10.1016\/j.jmig.2009.06.002_bib38","first-page":"1658","article-title":"Uterine malformations: diagnosis, prognosis and treatment","volume":"24","author":"Brun","year":"1995","journal-title":"Presse Med"},{"key":"10.1016\/j.jmig.2009.06.002_bib39","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/S0015-0282(16)55857-9","article-title":"Reproductive prognosis after hysteroscopic metroplasty in 102 women: lifetable analysis","volume":"59","author":"Fedele","year":"1993","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib40","doi-asserted-by":"crossref","DOI":"10.1093\/oxfordjournals.humrep.a135763","article-title":"Reproductive outcome following hysteroscopic management of intrauterine septum and adhesions","volume":"10","author":"Goldenberg","year":"1995","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2009.06.002_bib41","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1093\/humrep\/13.5.1188","article-title":"Hysteroscopic septum resection in patients with recurrent abortions and infertility","volume":"13","author":"Grimbizis","year":"1998","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2009.06.002_bib42","first-page":"274","article-title":"Hysteroscopic metroplasty under laparoscopic guidance in infertile women with septate uteri: follow-up of reproductive outcome","volume":"49","author":"Litta","year":"2004","journal-title":"J Reprod Med"},{"key":"10.1016\/j.jmig.2009.06.002_bib43","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/S1074-3804(05)60206-X","article-title":"Hysteroscopic metroplasty improves gestational outcome in women with recurrent spontaneous abortion","volume":"11","author":"Valli","year":"2004","journal-title":"J Am Assoc Gynecol Laparosc"},{"key":"10.1016\/j.jmig.2009.06.002_bib44","first-page":"110","article-title":"Septate uterus: reproductive outcome after hysteroscopic metroplasty","volume":"33","author":"Pace","year":"2006","journal-title":"Clin Exp Obstet Gynecol"},{"key":"10.1016\/j.jmig.2009.06.002_bib45","series-title":"Manual of Resectoscopic Surgery in Gynaecology","year":"1997"},{"key":"10.1016\/j.jmig.2009.06.002_bib46","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1016\/S0015-0282(16)53993-4","article-title":"Ultrasound-guided transcervical metroplasty","volume":"54","author":"Querleu","year":"1990","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2009.06.002_bib47","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.jmig.2006.11.010","article-title":"Office hysteroscopic metroplasty: three \u201cdiagnostic criteria\u201d to differentiate between septate and bicornuate uteri","volume":"14","author":"Bettocchi","year":"2007","journal-title":"J Minim Invasive Gynecol"}],"container-title":["Journal of Minimally Invasive Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465009003070?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465009003070?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T09:33:05Z","timestamp":1761557585000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1553465009003070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,9]]},"references-count":47,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2009,9]]}},"alternative-id":["S1553465009003070"],"URL":"https:\/\/doi.org\/10.1016\/j.jmig.2009.06.002","relation":{},"ISSN":["1553-4650"],"issn-type":[{"value":"1553-4650","type":"print"}],"subject":[],"published":{"date-parts":[[2009,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"New Outpatient Subclassification System for American Fertility Society Classes V and VI Uterine Anomalies","name":"articletitle","label":"Article Title"},{"value":"Journal of Minimally Invasive Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmig.2009.06.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2009 AAGL. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}