Surgical Approaches in Correcting Uterine Malformations and Their Influence on Fertility
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Keywords

Surgical Approaches; Uterine Malformations; Fertility Influence.

How to Cite

di Monte Sauan Natal , A. B., Azeredo Bittencourt Tavora, L., Cortês Rosa , M. E., Ricarda Costa de Oliveira, M., Lopes Almeida , J., Sousa Matos , A., Marinho de Amorim, M. H., & Souza Teixeira , D. (2024). Surgical Approaches in Correcting Uterine Malformations and Their Influence on Fertility . Brazilian Journal of Implantology and Health Sciences, 6(1), 529–543. https://doi.org/10.36557/2674-8169.2024v6n1p529-543

Abstract

Substantial advances in the diagnosis and treatment of uterine malformations, with a focus on their impact on fertility, represent crucial milestones in medical practice, providing a comprehensive understanding of emerging therapeutic approaches. Among the discussed strategies, the array of surgical interventions adopted to correct these malformations, ranging from minimally invasive procedures to more extensive approaches, stands out. The success of these approaches in highly selected cases provides an optimistic outlook, though it is crucial to consider such interventions as specific options, managed in specialized centers, reinforcing the need for a discerning approach.

Furthermore, the effectiveness of these surgical approaches and the outcomes related to fertility are examined. The critical analysis of these studies underscores the importance of understanding how different surgical techniques influence not only uterine anatomy but also fertility outcomes, including conception and gestation rates.

Relevant aspects associated with post-surgical complications, such as the need to consider ethical implications and challenges related to these procedures, emerge as crucial elements. The ethical discussion and consideration of challenges associated with surgical intervention in correcting uterine malformations highlight the complexity of this field and the need for clear guidelines.

Finally, the ongoing importance of research and innovation is emphasized to build a promising future for women facing the complexity of uterine malformations. The personalized focus on surgical approaches, coupled with interventions tailored to individual needs, not only promotes clinical advancements but also a compassionate approach in managing these chronic conditions in patients. The conclusion underscores the need for continued collaboration among healthcare professionals, researchers, and the industry to drive significant advancements in the field of surgical correction of uterine malformations and their impact on fertility.

 

https://doi.org/10.36557/2674-8169.2024v6n1p529-543
PDF (Português (Brasil))

References

CHEN, J. et al. Hysteroscopic Fenestration with Precise Incision of the Cavity Septum: A Novel Minimally Invasive Surgery of Complete Septate Uterus with Double Cervix. Journal of Minimally Invasive Gynecology, v. 30, p. 716-724, 2023.

FEDELE, F. et al. Reconstructive surgery for congenital atresia of the uterine cervix: a systematic review. Archives of Gynecology and Obstetrics, v. 308, p. 685-700, 2023.

FOUAD, R.; ZAYED, M. Utero-vaginal anastomosis in cases of cervical malformations: long-term follow-up and fertility challenges. Archives of Gynecology and Obstetrics, v. 307, p. 1001-1006, 2023.

LAMARI, I. et al. Spontaneous Pregnancy After Surgical Repair of Subseptate Uterus: A Case Report and Review of the Available Literature. Cureus, v. 15, n. 8, p. e43399, 2023.

NOVENTA, M. et al. Uterine Septum with or without Hysteroscopic Metroplasty: Impact on Fertility and Obstetrical Outcomes—A Systematic Review and Meta-Analysis of Observational Research. J. Clin. Med., v. 11, p. 3290, 2022.

PARODI, L. et al. Complete Uterine Septum, Double Cervix and Vaginal Septum (U2b C2 V1): Hysteroscopic Management and Fertility Outcomes—A Systematic Review. J. Clin. Med., v. 12, p. 189, 2023.

SARIDOGAN, E. et al. Reproductive Performance Following Hysteroscopic Surgery for Uterine Septum: Results from a Single Surgeon Data. J. Clin. Med., v. 10, p. 130, 2021.

WANG, Z. et al. Reproductive outcome of a complete septate uterus after hysteroscopic metroplasty. Journal of International Medical Research, v. 48, n. 3, p. 1-9, 2019.

YEN, C. F. et al. Laparoscopic metroplasty: reconstructive surgery for unicornuate uterus with noncommunicating, functional uterine horn. Fertility and Sterility, v. 114, n. 5, p. 0015-0282, 2020.

ZHANG, N. et al. Accurate identification and surgical correction of type IIb uterine malformation using synchronized hysteroscopy and laparoscopy. Fertility and Sterility, v. 117, n. 1, 2022.

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Copyright (c) 2024 Ana Beatriz di Monte Sauan Natal , Letícia Azeredo Bittencourt Tavora, Maria Eduarda Cortês Rosa , Maria Ricarda Costa de Oliveira, Jullyana Lopes Almeida , Amanda Sousa Matos , Matheus Henrique Marinho de Amorim, Daniele Souza Teixeira