title: Hysteroscopic resection of uterus septus versus abdominal metroplasty.
abstract: The new hysteroscopic approach toward pregnancy loss associated with uterine septum offers several advantages over abdominal metroplasty. However, several safeguards should be taken: laparoscopic or sonographic guidance should accompany hysteroscopic metroplasty; postoperative HSG or hysteroscopy is recommended; there is no advantage of IUD insertion postoperatively; sequential estrogen-progesterone therapy postoperatively is optional, but of no proved benefit; a hysteroscopic approach toward uterine septum is the preferred procedure, even when laparotomy for treatment of pelvic endometriosis or intrapelvic adhesions is indicated, and, although its value is not established, a short perioperative cause of prophylactic antibiotics seems to be warranted.
authors.affiliation: Department of Obstetrics and Gynecology, Hadassah University Hospital, Jerusalem.
authors.forename: U
authors.initials: U
authors.lastname: Elchalal
authors.forename: J G
authors.initials: JG
authors.lastname: Schenker
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000379:methods; D007813:Laparotomy / Q000379:methods; D053685:Laser Therapy / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D011247:Pregnancy; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery