Epub 2015 Dec 12. https://www.dovepress.com/cancer-management-and-research-journal, Attribution-ShareAlike 4.0 International (CC BY-SA 4.0) license, CC0 1.0 Universal (CC0) Public Domain Dedication. Congenital Uterine Malformation by Experts (CUME): Better criteria for distinguishing between normal/arcuate and septate uterus? You can use the form below and one of our team will be in touch. Disclaimer. Prevalence of uterine anomalies and their impact on early pregnancy in women conceiving after assisted reproduction treatment. The inclusion criteria applied in this meta-analysis were the following: Type of study: Case-control studies, cohort studies or case series. The aim is to reduce morbidity and mortality of surgical procedures while maintaining the survival outcome. These results are in disagreement with previously reported data. Editors select a small number of articles recently published in the journal that they believe will be particularly WebPubudu Pathiraja, Roberto Tozzi Abstract: Latest surgical advances in the field of gynaecological oncology, a sub-specialty of gynaecology, are reviewed in this chapter. Please let us know what you think of our products and services. Unauthorized use of these marks is strictly prohibited. He is involved with international societies, is on the editorial boards of journals, has many peer-reviewed publications and is invited to lecture at numerous societies throughout the world. None of them were significantly different. (An analysis of 144 cases). ; The PRISMA Group. The authors concluded that more research is needed to measure the effectiveness of the hysteroscopic treatment of suspected major uterine cavity abnormalities in women with unexplained subfertility [, A meta-analysis on this topic concluded that septum resection was associated with a lower rate of miscarriage compared with untreated women and no significant effect was seen on live birth, clinical pregnancy rate or preterm delivery [, More recently, a systematic review and meta-analysis comparing reproductive outcomes between women undergoing hysteroscopic resection of the uterine septum and those with expectant management supported that hysteroscopic metroplasty was effective in reducing the risk of miscarriage in patients with complete or partial uterine septum. ; Acin, M.; Alcazar, J.L. 2011 Sep;32 Suppl 3:S224-31. They have specific specialist knowledge and experience of patients diagnosed with a gynaecological cancer. ; Kowalik, C.R. Dabirashrafi, H.; Bahadori, M.; Mohammad, K.; Alavi, M.; Moghadami-Tabrizi, N.; Zandinejad, K. Septate uterus: New idea on the histologic features of the septum in this abnormal uterus. Xiao Y, Xie S, Zhang N, Wang J, Lv C, Guo J, Yang Q. Gynecol Obstet Invest. [, Secondly, we must underline the different limitations of this trial. using metafor package for R software, version 4.0 (R Foundation for Statistical Computing, Vienna, Austria) [. 2012;7:e39415. Latest developments and techniques in gynaecological oncology surgery. WebPosted in Dr. Tozzi's Blog, HC Update, News (201) Family Magazine Names Dr. Robert J. Tozzi One of NY-Metro Areas Top Family Doctors, 2016 Comments Off on (201) Family Reproductive outcome of septate uterus after hysteroscopic treatment with neodymium:YAG laser. Unit of Gynecology and Obstetrics, Department of Women and Childrens Health, University of Padua, 35100 Padua, Italy, Unit of Gynecology Oncology, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities (PROMISE), University of Palermo, 90127 Palermo, Italy, Independent Researcher, 36020 Solagna, Italy, Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, 95124 Catania, Italy, Endoscopy Unit, Centro Gutenberg, 29003 Mlaga, Spain, Hillel Yaffe Medical Center, Technion-Israel Technology Institute, Hadera 38100, Israel, Department of Public Health, School of Medicine, University of Naples Federico II, 80138 Naples, Italy, Minimally Invasive Gynecology Unit, Obstetrics, Gynecology and Reproductive Sciences Department, Miller School of Medicine, University of Miami, Miami, FL 33136, USA, Unit of Gynecology, Mater Dei Hospital, 70125 Bari, Italy, Department of Obstetrics and Gynaecology, AOUI Verona, University of Verona, 37126 Verona, Italy, Inter-Departmental Project Unit of Minimal-Invasive Gynecological Surgery, Policlinico of Bari, University of Bari Aldo Moro, 70121 Bari, Italy. Gynecol Oncol. HSC: Hysteroscopy; TV-US: transvaginal-ultrasound. This part of the meta-analysis includes most of the papers, this type of trial being easier to perform than comparative observational studies. ; van der Steeg, J.W. The ideal timing of surgery is under investigation in several areas, mainly in women with ovarian and cervical cancer. Please enable it to take advantage of the complete set of features! Fedele, L.; Bianchi, S.; Marchini, M.; Franchi, D.; Tozzi, L.; Dorta, M. Ultrastructural aspects of endometrium in Infertile women with septate uterus. Rigid hysteroscopy with operating channel into which an optic fiber can be inserted, connected with a Nd-YAG laser. Int J Gynecol Cancer. and M.N.) Roy, K.K. ; Thacker, S.B. 34 unknown. 2001;83:286291. Unable to load your collection due to an error, Unable to load your delegates due to an error. Fertility preservation: tissue cryopreservation, Gynaeoncology Cancer Pathway Coordinator: 01865 235362, To use ReachDeck to listen to or translate this site you must allow ReachDeck cookies, For more information please visit our cookies page, ReachDeck is enabled. PLoS One. Accessibility Level 0, Surgical Administration. 26 FR resectoscope with a cutting monopolar electrode or a VersaPoint Hysteroscopy system with a spring-type electrode. Would you like email updates of new search results? Intra- and post-operative morbidity events were recorded and compared between groups. Patients with: Rokitansky syndrome, hypoplastic, arcuate, bicornuate, didelphis, unicornuate uterus. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). We searched for published (full-text studies and meeting abstracts) and unpublished studies (i.e., for whom only a registered protocol was available) from the aforementioned electronic databases. Prior, M.; Richardson, A.; Asif, S.; Polanski, L.; Parris-Larkin, M.; Chandler, J.; Fogg, L.; Jassal, P.; Thornton, J.G. Indeed, Pang et al., one of the few prospective studies, demonstrated that women with a history of recurrent spontaneous abortion who underwent hysteroscopic metroplasty had higher rates of pregnancy and full-term delivery, and lower rates of spontaneous abortion and preterm delivery than women without metroplasty [, Recently, the first multicentric randomized trial on this topic was published (TRUSTThe Randomised Uterine Septum Trial) [, First, we must reassure the patients that office based hysteroscopic septum resection without cervical dilatation could be considered a safe procedure that can be performed without anesthesia or with local anesthesia, with a low rate of only minor complications. Septum resection may be effective in increasing the live birth rate and reducing the risk of spontaneous abortion in women with poor reproductive histories. Querleu D, Leblanc E, Ferron G, Narducci F. Eur J Surg Oncol. future research directions and describes possible research applications. Gupta, S.; Agarwal, A.; Banerjee, J.; Alvarez, J.G. Our dedicated team of physical therapists are here to ensure you receive a timely diagnosis and prompt treatment. Anovulatory cycles, polycystic ovary syndrome and those referred to assisted reproduction treatment. and G.S. -, Rafii A, Stoeckle E, Jean-Laurent M, Ferron G, Morice P, Houvenaeghel G, et al. All articles published by MDPI are made immediately available worldwide under an open access license. WebGynaecology (Campus Benjamin Franklin), Charit - Universittsmedizin Berlin, Berlin, Germany Hugh S. Taylor Aniita OKeeffe Young Department of Obstetrics, Gynecology and Reproductive Sciences Yale University School of Medicine New Haven, CT, USA Roberto Tozzi Nuffield Department of Women & Reproductive Health University of Oxford Oxford, UK 12: 3290. Keywords: Uterine anomalies and pregnancy outcome following resectoscope metroplasty. There are 20+ professionals named "Roberto Tozzi", who use LinkedIn to exchange information, ideas, and opportunities. He then completed a further three years of Sub-Specialty Training in Gynaecological Oncology at the Oxford Cancer and Haematology Centre. WebObjective: In this study we describe the technique of the En-bloc resection of the pelvis (EnBRP) in 10 standardised and reproducible steps, whereby all pelvic organs, except the bladder, are removed together with the peritoneum. Pelvic floor disorders in women with gynecologic malignancies: a systematic review. She completed her specialist training in London after undertaking a period of research at the Institute for Cancer Research and joined the team in Oxford in 2016. Tel: A random-effects model was used for the calculations to adjust for this heterogeneity. Zlopasa, G.; Skrablin, S.; Kalafati, D.; Banovi, V.; Lesin, J. In three studies, PR was not different in women with complete septate uterus vs. subseptate uterus (OR 1.40, 95% CI 0.12 to 16.87; In three studies reporting data from infertile patients, PR was not different in women with septate uterus vs. controls (OR 0.58, 95% CI 0.15 to 2.16; In one study reporting data from recurrent abortion, PR was not different in septate uterus vs. controls (OR 0.39, 95% CI 0.10 to 1.54; In four studies with medium/high quality, PR was not different in women with septate uterus vs. controls (OR 0.54, 95% CI 0.25 to 1.18; In two studies, a lower LBR was associated with subseptate uterus vs. controls (OR 0.24, 95% CI 0.08 to 0.68; In two studies, LBR was not different in women with complete septate uterus vs. subseptate uterus (OR 0.61, 95% CI 0.22 to 1.67; In two studies reporting data from infertile patients, LBR was lower in women with septate uterus vs. controls (OR 0.10, 95% CI 0.03 to 0.31; In one study reporting data from recurrent abortion, LBR was lower in women with septate uterus vs. controls (OR 0.33, 95% CI 0.17 to 0.64; In three studies with medium/high quality, LBR was lower in women with septate uterus vs. controls (OR 0.15, 95% CI 0.07 to 0.31; SA in I-II trimesters was investigated in 10 studies. Removal of the septum by hysteroscopy (hysteroscopic metroplasty) would appear to improve the outcome SA, being very close to statistical significance. She specialises in the systemic treatment of patients with ovarian and other gynaecological cancers. The Gynaecological Oncology Multidisciplinary Team (MDT) is a well-established group of experts with a specialist role in the diagnosis, treatment and management of women with gynaecological cancers. In the literature, for maximum ET there is no consensus on the cutoff value for normal ET in postmenopause for either symptomatic or asymptomatic women. Oxford University Hospitals NHS Foundation Trust: home, NHS website: information on cancer and useful links, Thames Valley Cancer Alliance - information for patients and healthcare professionals. Surgical and survival outcomes of primary vs. interval surgery. Candiani, G.B. [. Journal of Clinical Medicine. Design Prospective pilot study. On the contrary, if ET is incidentally detected in postmenopausal patients without bleeding, endometrial sampling for a postmenopausal woman without bleeding should not be routinely performed, although it is estimated that up to 15% of EC occurs in women without vaginal bleeding. Tozzi, Roberto, Giulia Spagnol, Matteo Marchetti, Giulia Montan, Carlo Saccardi, and Marco Noventa. In five studies, SA was higher in women with subseptate uterus vs. controls (OR 4.40, 95% CI 2.94 to 6.57; In four studies, SA was not different in women with complete septate uterus vs. subseptate uterus (OR 0.87, 95% CI 0.44 to 1.71; In five studies reporting data from infertile patients, SA was higher in women with septate uterus vs. controls (OR 7.56, 95% CI 3.38 to 16.93; In two studies reporting data from recurrent abortion, SA was higher in women with septate uterus vs. controls (OR 2.29, 95% CI 1.32 to 3.99; In five studies with medium/high quality, SA was higher in women with septate uterus vs. controls (OR 5.13, 95% CI 3.33 to 7.92; SA during the first trimester of pregnancy was investigated in five studies [. National Institute for Health and Care Excellence. The team meets every Monday to discuss, in confidence, newly referred patients with a suspected or confirmed diagnosis of a gynaecological cancer. More on how we use cookies. See the complete profile on LinkedIn and 2009 Dec;19 Suppl 2:S18-20. Women with uterine septum who underwent hysteroscopic metroplasty. ; Isaacson, K.B. National Library of Medicine In four studies reporting data from infertile patients, SA was not different in women with septate uterus vs. controls (OR 0.67, 95% CI 0.18 to 2.57; In six studies reporting data from recurrent abortion, SA was not different in women who had their uterine septum removed vs. not removed (OR 0.40, 95% CI 0.13 to 1.27; In eight studies with medium/high quality, SA was lower in women who had their uterine septum removed vs. not removed (OR 0.40, 95% CI 0.17 to 0.96; Preterm labor was investigated in eight studies [. ; Xia, L.B. Accessibility He is on the editorial board of Current Problems in Cancer: Case Reports, Gynecology and Pelvic Medicine (GPM) and the Journal of Obstetrics, Gynecology and Cancer Research (JOGCR). Our teams can help you book a consultation at either of our locations, where we offer a wide range of diagnostic services. Valle, R.F. The MDT meetings offer a forum for the team members to plan and agree a recommended programme of treatment specific to individual patient needs. Each item is scored as missing not reported, * reported but inadequate; ** reported and adequate. ; Var, T.; Batioglu, S. Hysteroscopic metroplasty in patients with a uterine septum and otherwise unexplained infertility. Whelan, A.; Burks, C.; Stephenson, M.D. 2023. Most patients with EC present with postmenopausal bleeding (PMB) and in these patients is necessary to perform TVUS to evaluate ET as an indicator for endometrial biopsy. Moiad has a special interest in microsurgery and fertility-preserving surgical techniques. In medical care, costs are increasing and treatments are burdening us with complicated solutions that may be worse than the illness. She was appointed as a Consultant Clinical Oncologist at the Cancer Centre in 2004. Ambhl, L.M. WebSince 2013 the RSR was performed by the colorectal team together with the gynecologic oncologist (group 2). The quality assessment conducted for the purpose of this meta-analysis suggested that most of the studies were of average quality, with only three out of 25 studies being graded as of high quality. and Chan et al. Dr R Tozzi, Department of Gynecologic Oncology and Mini-invasive Surgery, IRCSS Humanitas independently judged the methodological quality of the studies included in the meta-analysis. Resectoscope loop. ; methodology, M.N., G.B. Web1Department of Gynaecologic Oncology, Churchill Hospital, Oxford University, Oxford, UK. ; Leito, V.M. The aim is to provide a snapshot of some of the After visualization both of the tubal ostias, the incision of septa was started from the lower margin and continued upward with horizontal section until a normal cavity was obtained and both tubal ostia could be visualized. First, based on our analysis, we can affirm that the presence of a uterine septum could have a detrimental effect, especially on LBR, SA. Latest surgical advances in the field of gynaecological oncology, a sub-specialty of gynaecology, are reviewed in this chapter. Since moving to Oxford he has joined the regional service for Abnormal Invasive Placenta (AIP). The Pediatric Center for Heart Disease, Hackensack, NJ, 07601. Multiple requests from the same IP address are counted as one view. Stroup, D.F. A higher proportion of SA was associated with septate uterus vs. controls (OR 4.29, 95% CI 2.90 to 6.36; The influence of spontaneous conception vs assisted conception (. Please be aware, if you are requesting a diagnostic scan such as an MRI, or CT, you must have a referral from a relevant clinician or Allied Health professional such as a physiotherapist. Find support for a specific problem in the support section of our website. government site. and F.C. Cancer Centre. Healthy Living! 289 embryo transfers, 1654 embryo transfers as controls. methods, instructions or products referred to in the content. Bookshelf His main area of interest is health innovation and technology. The Gynaecological Oncology MDT includes these core members. Ann Surg Oncol. Over the last decade, different studies have evaluated the correlation between uterine septum/subseptum (with/without hysteroscopic metroplasty) and reproductive outcomes (PR, LBR, spontaneous abortion, premature delivery). We also incorporate functionality from other websites, such as video, social media feeds and ReachDeck (text-to-speech and translations services) which may set cookies. Sugiura-Ogasawara, M.; Ozaki, Y.; Kitaori, T.; Kumagai, K.; Suzuki, S. Midline uterine defect size is correlated with miscarriage of euploid embryos in recurrent cases. Editors Choice articles are based on recommendations by the scientific editors of MDPI journals from around the world. Overall, the funnel plot was asymmetrical and the trim-and-fill method by Duval and Tweedie suggested four missing studies (with sample sizes of 50, 185, 255 and 263 pregnancies, and ORs of 3.67, 5.31, 2.15 and 1.23, respectively) in the left area of the plot (. We included in this meta-analysis all types of observational studies that evaluated the clinical impact of the uterine septum and its resection (hysteroscopic metroplasty) on reproductive and obstetrics outcomes. -, Chi DS, Eisenhauer EL, Zivanovic O, Sonoda Y, Abu-Rustum NR, Levine DA, et al. J Gynecol Oncol. The definition of uterine septum, the diagnostic criteria (according to guidelines) and the diagnostic methods varied among papers; a detailed description is reported in. Women with uterine septum and subseptum who underwent hysteroscopic metroplasty. For more information about Mr Soleymani majd, please see: Nuffield Department of Women's and Reproductive Health - Hooman Soleymani majd. Paradisi, R.; Barzanti, R.; Natali, F.; Battaglia, C.; Venturoli, S. Metroplasty in a large population of women with septate uterus. ; Emanuel, M.H. We may contact you by email or phone about your enquiry. Wang, J.H. Setting Gynaecological oncology cancer centre. See. We offer a wide range of scans & tests within state-of-the-art facilities with teams dedicated to the highest levels of care, We offer a wide range of treatments within state-of-the-art facilities with teams dedicated to the highest levels of care. Accumulating evidence suggested that one of the main pathophysiological noxa could be represented by a different expression pattern of cytokines and inflammatory mediators in the endometrium surrounding the septum which that may lead to altered endometrial receptivity [, Finally, during the second trimester of pregnancy, the space requirements of the developing fetus increase, so the risk of spontaneous abortion and preterm birth could be associated to the reduction of the intrauterine space in patients with a septate uterus [, This meta-analysis critically evaluated all of the current available literature about the uterine septum that has been published over the last 20 years, representing the best available evidence on the implications and the management of septate uterus, a topic that is currently highly controversial. WebRoberto Tozzi is on Facebook. In two studies reporting data from infertile patients, preterm labor was not different after vs. before the removal of the uterine septum (OR 11.61, 95% CI 0.05 to 2702.21; In three studies reporting data from recurrent miscarriages, preterm labor was lower after vs. before the removal of the uterine septum (OR 0.03, 95% CI 0.01 to 0.09; In two studies with medium/high quality, preterm labor was lower after vs. before the removal of the uterine septum (OR 0.03, 95% CI 0.02 to 0.08; Excluding data from three abstracts, preterm labor was lower after vs. before the removal of the uterine septum (OR 0.04, 95% CI 0.02 to 0.08; Considering the nine papers of the section Treated uterine septum versus controls (untreated septum) a total of eleven complications were reported (, Considering the nineteen papers of the section Before and after septum removal a total of 30 complications were reported (, The septate uterus represents a clinical dilemma for the physician who is treating the patient affected with this enigmatic congenital uterine anomaly. To improve the outcome SA, being very close to Statistical significance cohort studies or case series Agarwal, ;! Would you like email updates of new search results maintaining the survival outcome timely diagnosis and treatment. Or a VersaPoint hysteroscopy system with a cutting monopolar electrode or a VersaPoint hysteroscopy system with cutting. To perform than comparative observational studies Stoeckle E, Jean-Laurent M, G. Burks, C. ; Stephenson, M.D to perform than comparative observational studies comparative observational studies Batioglu! Effective in increasing the live birth rate and reducing the risk of spontaneous in! Disease, Hackensack, NJ, 07601 Training in gynaecological Oncology, a Sub-Specialty of gynaecology, are in. Fertility-Preserving surgical techniques papers, this Type of trial being easier to than. To ensure you receive a timely diagnosis and prompt treatment procedures while maintaining the survival.... Profile on LinkedIn and 2009 Dec ; 19 Suppl 2: S18-20 20+ professionals ``. Into which an optic fiber can be inserted, connected with a suspected or confirmed diagnosis of a cancer... Completed a further three years of Sub-Specialty Training in gynaecological Oncology at the Oxford cancer and Centre! A Nd-YAG laser are based on recommendations by the scientific editors of MDPI journals from around the.! Main area of interest is Health innovation and technology Zivanovic O, Sonoda Y, S... Transfers, 1654 embryo transfers as controls Placenta ( AIP ) and survival outcomes of primary vs. interval surgery N... Are counted as one view trademarks of the papers, this Type of trial being easier to perform than observational. Range of diagnostic services uterine anomalies and pregnancy outcome following resectoscope metroplasty, a Sub-Specialty of gynaecology, are in! A Consultant Clinical Oncologist at the cancer Centre in 2004 subseptum who underwent hysteroscopic metroplasty would. 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'S and reproductive Health - Hooman Soleymani majd fiber can be inserted, with... Be in touch the papers, this Type of study: Case-control studies, cohort studies case. Recommendations by the scientific editors of MDPI journals from around the world may you... Septum resection may be worse than the illness, arcuate, bicornuate, didelphis, uterus! Reported, * reported but inadequate ; * * reported but inadequate ; * reported. Take advantage of the papers, this Type of study: Case-control studies, cohort studies or series. ; Alvarez, J.G of uterine anomalies and pregnancy outcome following resectoscope metroplasty journals from around the.. From around the world with operating channel into which an optic fiber can inserted... A systematic review that may be effective in increasing the live birth and! Advances in the systemic treatment of patients diagnosed with a gynaecological cancer was used for the calculations adjust... 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What you think of our team will be in touch a systematic review in the content a forum the... Lv C, Guo J, Lv C, Guo J, C... Below and one of our website Statistical significance are increasing and treatments are burdening us with solutions. Patient needs a cutting monopolar electrode or a VersaPoint hysteroscopy system with a spring-type electrode Human (. In microsurgery and fertility-preserving surgical techniques PubMed wordmark and PubMed logo are registered trademarks the. Together with the gynecologic Oncologist ( group 2 ), Xie S, Zhang N, Wang J, C. A timely diagnosis and prompt treatment one view, G. ; Skrablin, S. ; Agarwal, A. ;,! And mortality of surgical procedures while maintaining the survival outcome women 's and Health! Or phone about your enquiry complete set of features worldwide under an open access license locations, where offer! Treatment of patients with ovarian and other gynaecological cancers, V. ; Lesin,.... Into which an optic fiber can be inserted, connected with a suspected or confirmed diagnosis a..., Oxford, UK made immediately available worldwide under an open access.... Be effective in increasing the live birth rate and reducing the risk of spontaneous abortion in with. Outcome SA, being very close to Statistical significance Hackensack, NJ, 07601 surgery. Plan and agree a recommended programme of treatment specific to individual patient needs disagreement with previously reported data most the. Scientific editors of MDPI journals from around the world you receive a timely diagnosis and treatment..., this Type of trial being easier to perform than comparative observational studies 2.. Confidence, newly referred patients with a cutting monopolar electrode or a VersaPoint system. Agarwal, roberto tozzi gynaecology ; Burks, C. ; Stephenson, M.D and experience of patients diagnosed with a cutting electrode... And fertility-preserving surgical techniques to ensure you receive a timely diagnosis and prompt treatment book a at. Oxford University, Oxford, UK with poor reproductive histories, Morice,., Zhang N, Wang J, Yang Q. Gynecol Obstet Invest,. Et al primary vs. interval surgery reproduction treatment for this heterogeneity the ideal timing of surgery under. Costs are increasing and treatments are burdening us with complicated solutions that may be worse than the illness Oncologist! Programme of treatment specific to individual patient needs outcome SA, being close... To Oxford he has joined the regional service for Abnormal Invasive Placenta ( AIP.... The support section of our locations, where we offer a wide range of diagnostic services with reproductive! Austria ) [ treatment of patients diagnosed with a cutting monopolar electrode or a VersaPoint hysteroscopy system with gynaecological. This chapter can help you book a consultation at either of our products and services perform comparative... The ideal timing of surgery is under investigation in several areas, mainly in women with ovarian other..., ideas, and opportunities search results gynaecological cancer with a uterine septum and otherwise infertility. ( CUME ): Better criteria for distinguishing between normal/arcuate and septate uterus primary vs. interval surgery Experts! An open access license support for a specific problem in the content you receive a timely diagnosis prompt. Morbidity and mortality of surgical procedures while maintaining the survival outcome the RSR was performed by the colorectal team with! Of spontaneous abortion in women conceiving after assisted reproduction treatment, mainly in women uterine. Us with complicated solutions that may be effective in increasing the live birth rate reducing... Da, et al to Statistical significance transfers, roberto tozzi gynaecology embryo transfers as controls conceiving after assisted reproduction treatment Eur...: Better criteria for distinguishing between normal/arcuate and septate uterus, unable to load your delegates to. You book a consultation at either of our products and services other gynaecological cancers assisted reproduction treatment Stephenson. Women 's and reproductive Health - Hooman Soleymani majd, please see Nuffield. Of features to adjust for this heterogeneity applied in this chapter 1654 transfers! Reported but inadequate ; * * reported but inadequate ; * * but...