Resection of uterine septum using gynaecoradiological techniques.
This paper presents further refinements in our technique for the resection of uterine septum. Fourteen patients [infertility (n = 9) and recurrent miscarriages (n = 5)] underwent in-office resection of a uterine septum under fluoroscopic control. The main outcome measure was complete resection of uterine septum. Resections were carried out using either hysteroscopic scissors in combination with a specially designed uterine balloon catheter, or microlaparoscopy scissors in conjunction with a cervical cannula. In all patients the septum was successfully resected without any intra-operative complications. We conclude that ambulatory gynaecoradiological resection of uterine septa is a safe and simple procedure. It avoids utilization of expensive operating room time, general anaesthesia, and some complications associated with hysteroscopic resection, such as fluid retention and electrolyte imbalance.
D000026:Abortion, Habitual / Q000191:economics / Q000601:surgery*; D000553:Ambulatory Care / Q000191:economics / Q000379:methods; D003362:Cost-Benefit Analysis; D005260:Female; D005471:Fluoroscopy; D013509:Gynecologic Surgical Procedures / Q000191:economics; D006801:Humans; D007247:Infertility, Female / Q000191:economics / Q000601:surgery*; D011247:Pregnancy; D014599:Uterus / Q000601:surgery*