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Scientific paper - Original scientific paper
Does Hysteroscopic Dissection of Partial Uterine Septum Represent a Risk Factor for Placental Abnormalities in Subsequent Pregnancy Compared with Controls Undergoing Other Hysteroscopic Surgery? Results from a Large Case-Control Analysis
Journal of Clinical Medicine, 12 (2022), 1; 177. https://doi.org/10.3390/jcm12010177
Hajšek, Pia; Riemma, Gaetano; Korošec, Sara; Laganà, Antonio Simone; Chiantera, Vito; Mikuš, Mislav; Ban Frangež, Helena

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Hajšek, P., Riemma, G., Korošec, S., Laganà, A. S., Chiantera, V., Mikuš, M. & Ban Frangež, H. (2022). Does Hysteroscopic Dissection of Partial Uterine Septum Represent a Risk Factor for Placental Abnormalities in Subsequent Pregnancy Compared with Controls Undergoing Other Hysteroscopic Surgery? Results from a Large Case-Control Analysis. Journal of Clinical Medicine, 12. (1). doi: 10.3390/jcm12010177

Hajšek, Pia, et al. "Does Hysteroscopic Dissection of Partial Uterine Septum Represent a Risk Factor for Placental Abnormalities in Subsequent Pregnancy Compared with Controls Undergoing Other Hysteroscopic Surgery? Results from a Large Case-Control Analysis." Journal of Clinical Medicine, vol. 12, no. 1, 2022. https://doi.org/10.3390/jcm12010177

Hajšek, Pia, Gaetano Riemma, Sara Korošec, Antonio Simone Laganà, Vito Chiantera, Mislav Mikuš and Helena Ban Frangež. "Does Hysteroscopic Dissection of Partial Uterine Septum Represent a Risk Factor for Placental Abnormalities in Subsequent Pregnancy Compared with Controls Undergoing Other Hysteroscopic Surgery? Results from a Large Case-Control Analysis." Journal of Clinical Medicine 12, no. 1 (2022). https://doi.org/10.3390/jcm12010177

Hajšek, P., et al. (2022) 'Does Hysteroscopic Dissection of Partial Uterine Septum Represent a Risk Factor for Placental Abnormalities in Subsequent Pregnancy Compared with Controls Undergoing Other Hysteroscopic Surgery? Results from a Large Case-Control Analysis', Journal of Clinical Medicine, 12(1). doi: 10.3390/jcm12010177

Hajšek P, Riemma G, Korošec S, Laganà AS, Chiantera V, Mikuš M, and sur.. Does Hysteroscopic Dissection of Partial Uterine Septum Represent a Risk Factor for Placental Abnormalities in Subsequent Pregnancy Compared with Controls Undergoing Other Hysteroscopic Surgery? Results from a Large Case-Control Analysis. Journal of Clinical Medicine [Internet]. 2022 December 26 [cited 2024 December 20];12(1). doi: 10.3390/jcm12010177

P. Hajšek, et al., "Does Hysteroscopic Dissection of Partial Uterine Septum Represent a Risk Factor for Placental Abnormalities in Subsequent Pregnancy Compared with Controls Undergoing Other Hysteroscopic Surgery? Results from a Large Case-Control Analysis", Journal of Clinical Medicine, vol. 12, no. 1, December 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:577570. [Accessed: 20 December 2024]

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Metadata
Title (english)Does Hysteroscopic Dissection of Partial Uterine Septum Represent a Risk Factor for Placental Abnormalities in Subsequent Pregnancy Compared with Controls Undergoing Other Hysteroscopic Surgery? Results from a Large Case-Control Analysis
AuthorPia Hajšek
AuthorGaetano Riemma
AuthorSara Korošec
AuthorAntonio Simone Laganà
AuthorVito Chiantera
AuthorMislav Mikuš
AuthorHelena Ban Frangež
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Gynecology and Obstetrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (english)
Background: Hysteroscopic septum dissection (HSD) is thought to improve fertility and pregnancy outcomes. However, the available literature suggests that uterine surgery can cause placental abnormalities in subsequent pregnancies. Methods: A case–control study was performed at the University Medical Center of Ljubljana, Department of Human Reproduction, from 1 January 2016 to 31 December 2018. The primary outcome was the association between HSD and the occurrence of placental abnormalities. We included women who underwent HSD due to infertility. Age-matched women who underwent hysteroscopic surgery for other issues were considered as controls. In addition, we divided the groups according to conception method. Only singleton pregnancies and first delivery were considered. Results: A total of 1286 women (746 who underwent HSD and 540 controls) were included in the analysis. HSD had no influence on placental abnormalities since the ratio was comparable regardless of the method of conception (113/746 vs. 69/540; p = 0.515). Infertile women who conceived naturally after HSD had a normal placentation rate comparable to women who did not undergo HSD (380/427 vs. 280/312; p = 0.2104). The rate of placental abnormalities in women who achieved pregnancy with IVF/ICSI procedures following HSD was comparable to that of women who did not undergo HSD (52/319 vs. 33/228; p = 0.5478). Placenta previa occurred significantly more often in infertile women without HSD after IVF/ICSI compared to natural conception (2/312 vs. 7/228; p = 0.0401). Conclusions: HSD was not associated with higher rate of placental abnormalities in the first singleton pregnancy compared with other hysteroscopic procedures. A higher rate of placenta previa in pregnancies following IVF/ICSI procedures, which was shown by our research, is corroborated by previous research findings.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleJournal of Clinical Medicine
Numberingvol. 12, no. 1, 177
e-ISSN2077-0383
DOIhttps://doi.org/10.3390/jcm12010177
URN:NBNurn:nbn:hr:105:577570
Publication2022-12-26
Document URLhttps://www.mdpi.com/2077-0383/12/1/177
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2024-02-26 11:30:02