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Importance of subtle endometrial laesions
Uterine exploration and treatment prior to egg donation in women > 40 years
HSC/US
TOTAL
DELIVERY
N
N
%
NORMAL
MRI ABN MRI NL
38 22 58 17 3 18
21 19 90
TREATED
Major pathology
27
17
63
Subtle pathology
UTERUS
20
13
65
ENDOMETRIUM
19
16
84
TOTAL
104
68
65
Intra mural Surgery new approach
Find plane of cleavage between myoma and surrounding myometrium
Dissect, mechanically or by hydro dissection the intramural space, coagulate selective the vascularization .
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