OC29.06: 3D‐TVS evaluation of partial uterine septum according to different classifications and correlation with reproductive outcomes: a study of 664 cases Article Swipe

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Francesca Conway , C. Exacoustós , S. Camilli , P. Maqina , Terry Siciliano , Emilio Piccione ·

YOU? · · 2019 · Open Access · · DOI: https://doi.org/10.1002/uog.20630

To compare the different classifications in use for mullerian anomalies (ASRM, Salim, ESHRE/ESGE, CUME) in the diagnosis of normal/ arcuate/ septate uterus and to correlate the diagnosis with reproductive outcomes. Retrospective observational study conducted on 664 patients with 3D ultrasound diagnosis of arcuate/subseptate uterus (3-30 mm indentation). For each patient the uterine morphology was evaluated offline on the coronal plane and the following measurements were recorded: - uterine cavity width (W); septal length (L); uterine wall thickness (M); fundal indentation angle (α). Each uterus was subsequently subclassified according to the following classifications: ASRM (1988), Salim (2003), ESHRE/ESGE (2013), CUME (2018). The reproductive history of each patient was correlated to the cavitary measurements and the type of malformation according to the four classifications. 38% of patients were infertile, 62% had at least one pregnancy with 75% of abortion, 23% of secondary infertility and 13% of preterm labour. Primary infertility was greater in patients with narrow cavities (W), less uterine wall thickness (M) and greater indentation angle (α). Preterm birth was associated with longer septa (L), recurrent abortion with small and narrow septa (L, W). The current classifications are not homogeneous in the definition of subseptate uterus and are not correlated with reproductive outcomes. This correlation becomes significant by imposing an indentation cutoff ≥ 5mm to the ESHRE classification. According to our results the presence of a partial septum carries a negative effect on reproductive impacts. We identified certain uterine morphological features that seem to have a greater association with negative outcomes. Current classifications don't seem to correlate with reproductive outcomes. In our opinion, the determination of a minimum indentation cut-off could standardise the existing classifications by clearly defining the criteria for corrective surgery.

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Medicine Uterus Infertility Abortion Gynecology Obstetrics Uterine rupture Pregnancy Biology Genetics Internal medicine

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Type: article
Language: en
Landing Page: https://doi.org/10.1002/uog.20630
PDF: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/uog.20630
OA Status: bronze
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DOI: https://doi.org/10.1002/uog.20630

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Title: OC29.06: 3D‐TVS evaluation of partial uterine septum according to different classifications and correlation with reproductive outcomes: a study of 664 cases

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Type: article

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Language: en

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Publication year: 2019

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Publication date: 2019-09-30

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Authors: Francesca Conway, C. Exacoustós, S. Camilli, P. Maqina, Terry Siciliano, Emilio Piccione

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Landing page: https://doi.org/10.1002/uog.20630

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OA status: bronze

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OA URL: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/uog.20630

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Concepts: Medicine, Uterus, Infertility, Abortion, Gynecology, Obstetrics, Uterine rupture, Pregnancy, Biology, Genetics, Internal medicine

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Cited by: 0

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abstract_inverted_index.compare	1
abstract_inverted_index.coronal	58
abstract_inverted_index.current	184
abstract_inverted_index.cut-off	268
abstract_inverted_index.greater	149, 162, 245
abstract_inverted_index.history	102
abstract_inverted_index.labour.	145
abstract_inverted_index.minimum	266
abstract_inverted_index.normal/	18
abstract_inverted_index.offline	55
abstract_inverted_index.partial	225
abstract_inverted_index.patient	49, 105
abstract_inverted_index.preterm	144
abstract_inverted_index.results	220
abstract_inverted_index.septate	20
abstract_inverted_index.uterine	51, 67, 74, 157, 237
abstract_inverted_index.abortion	175
abstract_inverted_index.arcuate/	19
abstract_inverted_index.cavitary	110
abstract_inverted_index.cavities	154
abstract_inverted_index.criteria	278
abstract_inverted_index.defining	276
abstract_inverted_index.existing	272
abstract_inverted_index.features	239
abstract_inverted_index.impacts.	233
abstract_inverted_index.imposing	207
abstract_inverted_index.negative	229, 248
abstract_inverted_index.opinion,	261
abstract_inverted_index.patients	36, 124, 151
abstract_inverted_index.presence	222
abstract_inverted_index.surgery.	281
abstract_inverted_index.According	217
abstract_inverted_index.abortion,	136
abstract_inverted_index.according	87, 117
abstract_inverted_index.anomalies	9
abstract_inverted_index.conducted	33
abstract_inverted_index.correlate	24, 255
abstract_inverted_index.diagnosis	16, 26, 40
abstract_inverted_index.different	3
abstract_inverted_index.evaluated	54
abstract_inverted_index.following	62, 90
abstract_inverted_index.mullerian	8
abstract_inverted_index.outcomes.	29, 201, 249, 258
abstract_inverted_index.pregnancy	132
abstract_inverted_index.recorded:	65
abstract_inverted_index.recurrent	174
abstract_inverted_index.secondary	139
abstract_inverted_index.thickness	76, 159
abstract_inverted_index.ESHRE/ESGE	96
abstract_inverted_index.associated	169
abstract_inverted_index.corrective	280
abstract_inverted_index.correlated	107, 198
abstract_inverted_index.definition	191
abstract_inverted_index.identified	235
abstract_inverted_index.infertile,	126
abstract_inverted_index.morphology	52
abstract_inverted_index.subseptate	193
abstract_inverted_index.ultrasound	39
abstract_inverted_index.ESHRE/ESGE,	12
abstract_inverted_index.association	246
abstract_inverted_index.correlation	203
abstract_inverted_index.homogeneous	188
abstract_inverted_index.indentation	79, 163, 209, 267
abstract_inverted_index.infertility	140, 147
abstract_inverted_index.significant	205
abstract_inverted_index.standardise	270
abstract_inverted_index.malformation	116
abstract_inverted_index.measurements	63, 111
abstract_inverted_index.reproductive	28, 101, 200, 232, 257
abstract_inverted_index.subsequently	85
abstract_inverted_index.Retrospective	30
abstract_inverted_index.determination	263
abstract_inverted_index.indentation).	46
abstract_inverted_index.morphological	238
abstract_inverted_index.observational	31
abstract_inverted_index.subclassified	86
abstract_inverted_index.classification.	216
abstract_inverted_index.classifications	4, 185, 251, 273
abstract_inverted_index.classifications.	121
abstract_inverted_index.classifications:	91
abstract_inverted_index.arcuate/subseptate	42
cited_by_percentile_year
countries_distinct_count	1
institutions_distinct_count	6
citation_normalized_percentile.value	0.16001376
citation_normalized_percentile.is_in_top_1_percent	False
citation_normalized_percentile.is_in_top_10_percent	False