A practical guide to determine the incision line in the treatment of septate uterus: 'Suha-Levent's Sign'.

摘要

OBJECTIVE: To evaluate the significance of a new sign in the hysteroscopic incision process of the septate uterus. DESIGN: This is a prospective case control study. DESIGN CLASSIFICATION: II-2. SETTINGS: The study was performed in a research hospital. PATIENTS: Fourty-seven consecutive cases were operated for septate uterus. INTERVENTION: Septum incision was performed in all cases with a hysteroscopic resectoscope under laparoscopic supervision. MEASUREMENTS AND MAIN RESULTS: Methylene blue 0.25% was injected through a Rubin canula in all cases for the assessment of tubal patency. Following the methylene blue injection, hysteroscopic septum incision was performed. CONCLUSION: A line (blue line) on the top of the cavity has been observed in 33 of 47 (70.2%) cases. This line (blue line) can be used for determining the midline especially before hysteroscopic incision of uterine septum and can also shorten the operation time.