{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:32:41Z","timestamp":1787070761728,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The objective of this study was to investigate the safety and utility of hybrid uterine septal resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This retrospective cohort trial included 16 patients who underwent hybrid uterine septal resection at Hyogo Medical University Hospital between January 2017 and September 2021. Hysteroscopic uterine septum resection was performed in 16 patients, whereas 5 patients with vaginal septal complications underwent an additional vaginal septectomy under supervision by thin laparoscopy and fluoroscopy. The main outcome measures were pregnancy success rate and procedure safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The results showed that the median operative time was 77 (46\u2013114) min, and no cases of intraoperative or postoperative adverse events were identified. The postoperative pregnancy rate was 100.0% (7\/7) and the live birth rate was 71% (5\/7) in women with recurrent pregnancy loss. Among women with infertility, the postoperative pregnancy rate was 55.5% (5\/9), and the live birth rate was 20% (1\/5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These findings indicate that our hybrid septal resection technique reduces patient burden and ensures safe and reliable surgery, with good results in terms of postoperative complications, pregnancy, and miscarriage rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit_25_24","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T03:00:23Z","timestamp":1729479623000},"page":"241-246","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Usefulness and Safety of Hybrid Uterine Septal Dissection"],"prefix":"10.4103","volume":"13","author":[{"given":"Shinichiro","family":"Saeki","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Fukui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayano","family":"Yamaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Shibahara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"R1-20260427","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1093\/humupd\/dmr028","article-title":"The prevalence of congenital uterine anomalies in unselected and high-risk populations: A systematic review","volume":"17","author":"Chan","year":"2011","journal-title":"Hum Reprod Update"},{"key":"R2-20260427","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1007\/s00404-019-05050-x","article-title":"Three-dimensional ultrasound in the diagnosis and the classification of congenital uterine anomalies using the ESHRE\/ESGE classification: A diagnostic accuracy study","volume":"299","author":"Kougioumtsidou","year":"2019","journal-title":"Arch Gynecol Obstet"},{"key":"R3-20260427","doi-asserted-by":"crossref","first-page":"155","DOI":"10.3109\/01443615.2014.936839","article-title":"Does surgery improve live birth rates in patients with recurrent miscarriage caused by uterine anomalies?","volume":"35","author":"Sugiura-Ogasawara","year":"2015","journal-title":"J Obstet Gynaecol"},{"key":"R4-20260427","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.fertnstert.2016.05.014","article-title":"Practice Committee of the American Society for Reproductive Medicine. Uterine septum: A guideline","volume":"106","year":"2016","journal-title":"Fertil Steril"},{"key":"R5-20260427","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/S1074-3804(05)80004-0","article-title":"Operative hysteroscopy: American Association of Gynecologic Laparoscopists\u2019 1993 membership survey","volume":"2","author":"Hulka","year":"1995","journal-title":"J Am Assoc Gynecol Laparosc"},{"key":"R6-20260427","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1093\/humrep\/14.5.1226","article-title":"Resection of uterine septum using gynaecoradiological techniques","volume":"14","author":"Karande","year":"1999","journal-title":"Hum Reprod"},{"key":"R7-20260427","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1016\/j.fertnstert.2021.09.025","article-title":"ASRM M\u00fcllerian anomalies classification 2021","volume":"116","author":"Pfeifer","year":"2021","journal-title":"Fertil Steril"},{"key":"R8-20260427","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.fertnstert.2019.11.025","article-title":"Definitions of infertility and recurrent pregnancy loss: A committee opinion","volume":"113","year":"2020","journal-title":"Fertil Steril"},{"key":"R9-20260427","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":"R10-20260427","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1002\/uog.20291","article-title":"Septate uterus according to ESHRE\/ESGE, asrm and cume definitions: Association with infertility and miscarriage, cost and warnings for women and healthcare systems","volume":"54","author":"Ludwin","year":"2019","journal-title":"Ultrasound Obstet Gynecol"},{"key":"R11-20260427","doi-asserted-by":"crossref","first-page":"781","DOI":"10.2214\/ajr.152.4.781","article-title":"Pregnancies in septate uteri: Outcome in relation to site of uterine implantation as determined by sonography","volume":"152","author":"Fedele","year":"1989","journal-title":"Ajr Am J Roentgenol"},{"key":"R12-20260427","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/0002-9378(95)90093-4","article-title":"Septate uterus: New idea on the histologic features of the septum in this abnormal uterus","volume":"172","author":"Dabirashrafi","year":"1995","journal-title":"Am J Obstet Gynecol"},{"key":"R13-20260427","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1093\/humrep\/deab037","article-title":"Septum resection versus expectant management in women with a septate uterus: An international multicentre open-label randomized controlled trial","volume":"36","author":"Rikken","year":"2021","journal-title":"Hum Reprod"},{"key":"R14-20260427","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/1477-7827-8-52","article-title":"Reproductive outcome after hysteroscopic septoplasty in patients with septate uterus \u2013 A retrospective cohort study and systematic review of the literature","volume":"8","author":"Nouri","year":"2010","journal-title":"Reprod Biol Endocrinol"},{"key":"R15-20260427","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":"R16-20260427","doi-asserted-by":"crossref","first-page":"20","DOI":"10.12891\/ceog23522014","article-title":"Difference in post-surgical reproductive prognosis between transcervical resection and transcervical incision of the septum","volume":"41","author":"Liu","year":"2014","journal-title":"Clin Exp Obstet Gynecol"},{"key":"R17-20260427","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":"R18-20260427","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1093\/humrep\/dei438","article-title":"Removal of a residual portion of a uterine septum in women of advanced reproductive age: Obstetric outcome","volume":"21","author":"Korm\u00e1nyos","year":"2006","journal-title":"Hum Reprod"},{"key":"R19-20260427","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1016\/j.jmig.2015.03.005","article-title":"Intraoperative transrectal ultrasonography for hysteroscopic metroplasty: Feasibility and safety","volume":"22","author":"Ghirardi","year":"2015","journal-title":"J Minim Invasive Gynecol"},{"key":"R20-20260427","first-page":"81","article-title":"Management of mullerian development anomalies: 9 years\u2019 experience of a tertiary care center","volume":"28","author":"Goyal","year":"2020","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R21-20260427","first-page":"1","article-title":"Unexplained infertility, the controversial matter in management of infertile couples","volume":"16","author":"Sadeghi","year":"2015","journal-title":"J Reprod Infertil"},{"key":"R22-20260427","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/j.fertnstert.2008.05.074","article-title":"Laparoscopy in women with unexplained infertility: a cost-effectiveness analysis","volume":"92","author":"Moayeri","year":"2009","journal-title":"Fertil Steril"},{"key":"R23-20260427","doi-asserted-by":"crossref","first-page":"50","DOI":"10.3389\/fsurg.2019.00050","article-title":"Early second-look hysteroscopy: Prevention and treatment of intrauterine post-surgical adhesions","volume":"6","author":"Sebbag","year":"2019","journal-title":"Front Surg"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_25_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:36:11Z","timestamp":1787067371000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_25_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_25_24","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-02-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}