The benefits and popularity of minimally invasive surgery are undeniable around the globe.However,open surgery is necessary and learning open surgery skills is still a necessity.Open surgery allows for better exposure...The benefits and popularity of minimally invasive surgery are undeniable around the globe.However,open surgery is necessary and learning open surgery skills is still a necessity.Open surgery allows for better exposure to the surgical field and provides tactile sensation to facilitate the stereo visual assessment to precisely remove the lesion.Open surgery is still the key to surgical training,and the skills learned from open surgeries remain crucial for unforeseen circumstances and certain conditions like emergencies,challenge cases,or patients with compromised status.展开更多
To the Editor:Septate uterus is a uterine malformation caused by abnormal resorption of the midline septum after fusion of the Müllerian ducts and it can be classified into the complete and incomplete septum.It a...To the Editor:Septate uterus is a uterine malformation caused by abnormal resorption of the midline septum after fusion of the Müllerian ducts and it can be classified into the complete and incomplete septum.It affects2%ofwomen of reproductive age,leading to poor fertility outcomes.[1]However,the adverse effects of this malformed uterine environment,especially the postmetroplasty uterine environment,on fetal development are unclear.展开更多
To the Editor:The septate uterus is the most common uterine anomaly and is associated with an increased risk of adverse reproductive outcomes.Transcervical resection of septum(TCRS)is widely performed in patients with...To the Editor:The septate uterus is the most common uterine anomaly and is associated with an increased risk of adverse reproductive outcomes.Transcervical resection of septum(TCRS)is widely performed in patients with adverse reproductive outcomes.The incidence of de novo intrauterine adhesions(IUAs)after TCRS is approximately 5%to 25%.[1]Various anti-adhesion methods are widely used in the clinical management of patients with septate uteri,including intrauterine devices,Foley balloons,estrogen,antibiotics,and hyaluronic acid gel.However,insufficient evidence supports or opposes any of these methods(Level C),[2]lacking high-grade evidence.展开更多
文摘The benefits and popularity of minimally invasive surgery are undeniable around the globe.However,open surgery is necessary and learning open surgery skills is still a necessity.Open surgery allows for better exposure to the surgical field and provides tactile sensation to facilitate the stereo visual assessment to precisely remove the lesion.Open surgery is still the key to surgical training,and the skills learned from open surgeries remain crucial for unforeseen circumstances and certain conditions like emergencies,challenge cases,or patients with compromised status.
基金supported by a grant from the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences(NO.2020-PT320-003)
文摘To the Editor:Septate uterus is a uterine malformation caused by abnormal resorption of the midline septum after fusion of the Müllerian ducts and it can be classified into the complete and incomplete septum.It affects2%ofwomen of reproductive age,leading to poor fertility outcomes.[1]However,the adverse effects of this malformed uterine environment,especially the postmetroplasty uterine environment,on fetal development are unclear.
基金supported by a grant from the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences(NO.2020-PT320-003)
文摘To the Editor:The septate uterus is the most common uterine anomaly and is associated with an increased risk of adverse reproductive outcomes.Transcervical resection of septum(TCRS)is widely performed in patients with adverse reproductive outcomes.The incidence of de novo intrauterine adhesions(IUAs)after TCRS is approximately 5%to 25%.[1]Various anti-adhesion methods are widely used in the clinical management of patients with septate uteri,including intrauterine devices,Foley balloons,estrogen,antibiotics,and hyaluronic acid gel.However,insufficient evidence supports or opposes any of these methods(Level C),[2]lacking high-grade evidence.