Clinical and Experimental Reproductive Medicine

The Korean Society for Reproductive Medicine (대한생식의학회)
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Hysteroscopic Septotomy of a Complete Septate Uterus Using a Balloon with Methylene Blue

완전 중격 자궁에서 메틸렌 블루가 들어 있는 풍선을 이용한 자궁경하 중격 제거술

  • Jang, Ji-Hyon (Department of Obstetrics and Gynecology, CHA University School of Medicine) ;
  • Cho, Jung-Hyun (Department of Obstetrics and Gynecology, CHA University School of Medicine) ;
  • Cha, Dong-Hyun (Department of Obstetrics and Gynecology, CHA University School of Medicine) ;
  • Han, Won-Bo (Department of Obstetrics and Gynecology, CHA University School of Medicine)
  • 장지현 (차의과학대학교 산부인과교실) ;
  • 조정현 (차의과학대학교 산부인과교실) ;
  • 차동현 (차의과학대학교 산부인과교실) ;
  • 한원보 (차의과학대학교 산부인과교실)
  • Received : 2010.11.19
  • Accepted : 2010.12.16
  • Published : 2010.12.31
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Abstract

A complete septate uterus with cervical duplication and a longitudinal vaginal septum is a rare uterine malformation. The dissection of the septum can be difficult because it is difficult for hysteroscopists to find out initial point, direction and final point of a complete septum. This study aimed the introduction of more efficient surgical procedure using a balloon with methylene blue. We have experienced three cases with a complete septate uterus. We performed hysteroscopic dissection of a complete uterine septum using a balloon with methylene blue and obtained good reproductive outcomes. So we report three cases with a brief review of literatures.

드문 기형인 두 개의 자궁 경부와 세로막 질 중격을 가지고 있는 완전 중격 자궁인 경우 자궁경으로 양측 자궁강을 각각 관찰할 때 중격의 정확한 위치와 길이를 측정하기가 어렵고 시술 시 중격 제거의 시점과 중격 제거의 길이와 방향 및 종점을 잡기가 매우 어렵다. 이에 methylene blue를 넣은 풍선을 이용한 중격 제거술에 관해 소개하고 2년 이상의 불임 기간을 가지고 있는 완전 중격 자궁 환자 3예에 있어서 이 수술을 이용하여 좋은 산과적 결과를 보인 증례를 보고하고자 한다.

Keywords

References

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