COMPARATIVE ANALYSIS OF THE EFFICIENCY OF CLASSICAL AND MODIFIED HYSTEROSCOPIC METROPLASTY IN WOMEN WITH RPL SYNDROME

Abstract

Intrauterine membranes (IMM) are one of the most common Müllerian anomalies. Their frequency in women with a history of miscarriages and infertility varies widely and is 5.5-24.5%
 Purpose. To conduct a comparative analysis of intraoperative, immediate and distant results of the classical and modified technique of the surgical intervention.
 Materials and Methods. 84 patients with a diagnosis of primary miscarriage (RPL-syndrome) and/or premature birth took part in the study. The main group (I clinical) consisted of 44 patients in whom hysteroscopic metroplasty was performed according to the proposed modified technique. The comparative group (II clinical) consisted of 40 patients who were operated according to the classical method of GM.
 Results. A comparative analysis of the effectiveness of the modified technique in comparison with the classic GM in women with RPL syndrome demonstrates a reduction in the duration of the operation by 15 minutes (р<0,05), a decrease of the frequency of endometritis cases by almost 3 times (р<0,05), a reduction in the length of stay of women in a day hospital by 6 hours (р<0,05), and a reduction in the formation of postoperative intrauterine synechiae by about 10%.
 Conclusions. However, these results are preliminary and require further, more in-depth research on large data samples, but already at this stage of the research, the modified method of hysteroscopic metroplasty has shown positive results.