Enjoy the latest issue of the Hysteroscopy Newsletter.
Dear hysteroscopy friends,
It is with great pleasure and pride that I present to you this new issue of the Hysteroscopy Newsletter, which increasingly compiles and disseminates thoughtful insights into the interesting world of hysteroscopy, which as all of you well know, is in constant evolution and change. The topic of this issue, totally focused on the septate uterus which is particularly dear to me; In recent years, enormous progress has been made which has made it possible to expand knowledge and improve the management of this class of Müllerian anomalies, which are still the subject of heated debate.
In this issue, the opinion and experience of leading experts on the subject made it possible to outline a precise, clear and rigorous picture on the correct methods of diagnosis and treatment of the septate uterus and its variants. In these pages you will find everything you need to know to diagnose this enigmatic pathology and to manage an apparently simple surgical technique, with clear objectives, but which hides pitfalls, that can at the same time be very frustrating, in terms of anatomical outcomes.
Luis Alonso opens the issue with an excellent review that offers an overview, enriched with high quality images, of the disease in question… His review is so comprehensive that you will wonder if it makes sense to keep reading the rest of the articles! But Haresh Vaghasia will change your mind, clarifying the role of diagnostic techniques and putting a firm point that leaves no room for further doubts. Ambiguities that are instead instilled from the point of view of Arthur Ludwin, who rekindles souls by stimulating a “critical” thinking. With regard to treatment, Ursula Catena focuses on the goal of simplicity and clarity with an summary on the state of the art of hysteroscopic metroplasty techniques, traditional and most innovative instrumentation, and on methods for an objective evaluation of the completeness of the intervention. Following, Professor Stefano Bettocchi provides an important added value to this issue, inviting to change the perspective and opening a new frontier in the surgical approach to the uterine septum. Then, Jose Carugno and Kiara Márquez face perhaps one of the most spinous issue, which is the treatment of the cervical septum, and I think that after reading it, you will obtain an evidence based view of this clinical challenge. Finally, Maria Carrera makes a brilliant summary on the evaluation of the reproductive impact of the uterine septa, which remains the point on which there is still a long way to go, as well as for the study of rare and less known forms, such as the Robert’s uterus that is clearly illustrated by Laura Nieto Pascual.
In conclusion, in light of the availability and the potential of modern diagnostic methods and new surgical instrumentation, my advice is to standardize the diagnostic and operative techniques in your clinical practice, to set clear and rigorous objectives and above all, to have the perseverance needed to achieve them.
I wish you happy reading!
Attilio Di Spiezio Sardo
(read more in the newsletter…)