Mastering intrauterine surgery, reconstruction of septate uterus by Shawki скачать в хорошем качестве

Mastering intrauterine surgery, reconstruction of septate uterus by Shawki

No issue in Gynecology received such controversies and aggressive debates like uterine septum. I can see the fiercy debate stronger than political or riligious fight😂😂 In old days at time of major abdominal surgery for septate uterus like Tompkins , Strassman and Jones, there was no much argument to treat or not to treat. Ironically , in era of min invasive surgery snd Hystetoscpy access, there are lot of rising voices arguing value of treatment and also debating the technique of surgery. To treat or not to treat , was a big argument , also cut or excise came as another confusion🤔 No doubt, some sporadic cases of women with septate uterus complete successfull term pregnacy , but for sure many more and majority fail to get pregnant and even fail to carry pregnancy to full term. TRUST study aiming to finalize the debate, still failed to provide convinient conclusion. Study proposing excise remove rather than just cut septum did not gain favor and need long time and randomized study to prove its relevance. Despite I did not publish paper articles in that regard apart from my study 2015 proving that septum is musclar and vascular more than thought before, otherwise I do believe I performed largest documented series of uterine reconstruction published visually on you tube video channel. May be this is not enough to convince colleagues need to read it an article with tables and graphs. But , here is my conclusion after performing tremendous number of septa documented by videos published on web; 1) Septum has variable degrees of muscujar vascular component that is more probouncrd in cases of infertility and repeated pregnancy loss. 2) Septum should be treated even in early diagnisis , as pregnancy may ocure with subsequent abortion and may be difficult evacuation and frequently retained products and Asherman. I have seen a lot of these cases. Postponing treatment is escape from facing problem. 3) septum surgery is never easy at all as it looks. It is not just go in and cut it🤯 ☝️☝️☝️It is very delicate , sensitive and high skills procedure that requires strong power of observation and follow fibers retraction snd continuously modify level of cut to achieve equal retraction of cut septsl tissues. Also, must reach optimum final point exactly not kess not after☝️ 4) For fertility treatment, there is no accepted midway or average performance in septum surgery. Either perfect or non. The result of trust study showing pregnancy rate higher in group not treated and less after septum surgery, proves beyond doubt that surgical intervention added more harm rather than good. Even-though, second look proved incomplete removal in percentage of cases in the study🫢 5) Scissors, resectoscope wether bipolar or monopolar are all fine and same results but with different skills required. 6) The real complications in septum surgery is not perforation or bleeding and adhesions , but the tragedy conclusion that no need for reconstruction of septate uterus. Instead of arguing to remove or not to remove? To resect or Transect? Let us move to