<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412018000700443</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i4.2006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Consecuencias en la reproducción luego de la histeroscopia operatoria previa a la transferencia embrionaria en pacientes infértiles]]></article-title>
<article-title xml:lang="en"><![CDATA[Reproductive impact of operative hysteroscopy in patients with infertility, previous embryo transfer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lezama-Ruvalcaba]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Aguirre]]></surname>
<given-names><![CDATA[Ishell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar-López-Ortiz]]></surname>
<given-names><![CDATA[Carlos Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tellez-Velasco]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Español de México Clínica de Reproducción Asistida Hisparep ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Español de México Clínica de Reproducción Asistida Hisparep ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Español de México Clínica de Reproducción Asistida Hisparep ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>86</volume>
<numero>7</numero>
<fpage>443</fpage>
<lpage>446</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018000700443&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018000700443&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018000700443&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Determinar si la histeroscopia operatoria mejora los resultados reproductivos en pacientes a quienes se efectúa transferencia embrionaria y reportar los hallazgos histeroscópicos más frecuentes, previos a la transferencia de embriones.  Materiales y métodos: Estudio retrospectivo, observacional y longitudinal efectuado en pacientes con diagnóstico de infertilidad de la Clínica de Reproducción Asistida Hisparep que recibieron ciclos de FIV-ICSI con histeroscopia previa a la transferencia embrionaria. Se compararon las tasas de implantación entre los distintos grupos y efectuó estadística descriptiva con c2.  Resultados: Se analizaron 255 pacientes con diagnóstico de infertilidad. El estudio histerosópico previo a la transferencia de embriones reportó que 122 (47%) tenían pólipos endometriales, 70 (28%) cavidad uterina normal, 27 (11%) sinequias uterinas, 24 (9%) miomatosis submucosa y 12 (5%) malformación mülleriana de tipo útero septado. 185 pacientes con alteración en la cavidad uterina se intervinieron por vía histeroscópica para corrección, antes de la transferencia embrionaria; de éstas, 44 (24%) quedaron embarazadas. A las que tenían malformación mulleriana se les resecó el tabique uterino y en 9 pacientes se logró el embarazo (75%). A las pacientes del grupo 4 se les practicó adherenciolisis y 6 lograron el embarazo (22%). En el grupo 2, posterior a la polipectomia, 26 pacientes quedaron embarazadas (21%) y en el grupo 3, posoperadas de miomectomia submucosa, 3 (12%) lograron el embarazo. De las pacientes del grupo 1 con cavidad uterina normal (n = 70), a quienes se efectuó transferencia embrionaria, 37 (53%) consiguieron quedar embarazadas.  Conclusiones: En las pacientes con subfertilidad y poliposis endometrial, la histeroscopia es un recurso útil para detectar anormalidades susceptibles de corrección antes de la transferencia embrionaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To determine if operative hysteroscopy improves reproductive outcomes in patients who undergo embryo tansfer and report the most frequent hysteroscopic findings prior to embryo transfer.  Materials and methods: Retrospective, observational and longitudinal study performed in patients with diagnosis of infertility of the Clínica de Reproducción Asistida Hisparep, Mexico, who received IVF-ICSI cycles with hysteroscopy prior to embryo transfer. The implantation rates between the different groups were compared and descriptive statistics were performed with c2.  Results: 255 patients with a diagnosis of infertility were analyzed. The hysteroscopic study prior to embryo transfer reported that 122 (47%) had endometrial polyps, 70 (28%) normal uterine cavity, 27 (11%) uterine synechiae, 24 (9%) submucosal myomatosis and 12 (5%) Mullerian malformation of septate uterus type. 185 patients with alteration in the uterine cavity were intervened hysteroscopically for correction, before the embryo transfer; of these, 44 (24%) became pregnant. Those who had Müllerian malformation resected the uterine septum and in 9 patients pregnancy was achieved (75%). The patients in group 4 underwent adherenciolisis and 6 achieved pregnancy (22%). In group 2, after polypectomy, 26 patients became pregnant (21%) and in group 3, postoperated by submucosal myomectomy, 3 (12%) achieved pregnancy. Of the patients in group 1 with normal uterine cavity (n = 70), to whom embryo transfer was made, 37 (53%) were able to get pregnant.  Conclusions: In patients with subfertility and endometrial polyposis, hysteroscopy is a useful resource to detect abnormalities susceptible to correction before embryo transfer.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Histeroscopia]]></kwd>
<kwd lng="es"><![CDATA[transferencia embrionaria]]></kwd>
<kwd lng="es"><![CDATA[infertilidad]]></kwd>
<kwd lng="es"><![CDATA[ICSI]]></kwd>
<kwd lng="es"><![CDATA[implantación]]></kwd>
<kwd lng="en"><![CDATA[Hysteroscopy]]></kwd>
<kwd lng="en"><![CDATA[Embryo transfer]]></kwd>
<kwd lng="en"><![CDATA[Infertility]]></kwd>
<kwd lng="en"><![CDATA[ICSI]]></kwd>
<kwd lng="en"><![CDATA[Implantation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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