When the paramesonephric ducts meet on both sides but fuse incompletely, a septum can be formed in the uterine cavity. Uterine septum is the most common type of congenital uterine malformation, accounting for approximately 80% to 90% of uterine malformations. Septum tissues have fewer blood vessels and a relatively high fiber content, and the endometrium covering the septum shows a relatively poor response to hormones, affecting fertilized egg implantation as well as normal growth and development of the placenta, which may lead to infertility, miscarriage, premature birth, abnormal fetal position, and so on. Among all uterine malformations, uterine septum is the only one that can be treated and corrected by hysteroscopic surgery. With the development of gynecological endoscopic technology, the diagnostic and treatment techniques of uterine septum are continuously being improved and perfected. Transcervical resection of the septum (TCRS), with advantages such as shorter operating time, less surgical trauma, and fewer complications, has become increasingly popular in clinical application. In this paper, the general information, perioperative status, postoperative recovery treatment, and postoperative pregnancy rate in 190 patients with uterine septum who underwent TCRS were statistically analyzed.
Dr. Osama Badran,M.D.,FACOG , An American Board certified gynecologist and an advanced laparoscopic pelvic surgeon perfomrming hysteroscopy for resection of a wide uterine septum. Noticethe tubal ostea appearing in to view towards the end of the procedure.
Hysteroscopic Transcervical Resection of Uterine Septum
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