Hysteroscopic Septal Resection

Hysteroscopic Septal Resection

A septate uterus is an inborn abnormality of the uterus, where the uterus is divided into two cavities. Women with a septate uterus are at risk for subfertility, recurrent miscarriage, and preterm birth. They get pregnant but a septate uterus does not allow the baby to grow and miscarriage takes place in the early days of pregnancy itself. Surgical removal of septate uterus will help the women to overcome miscarriage and give birth to the conceived child.  

How is the diagnosis of septate uterus done?

A pelvic examination may reveal a double vagina or double cervix that should be further investigated and may lead to the discovery of a uterine septum. In most patients, however, the pelvic examination is normal. Investigations are usually prompted on the basis of reproductive problems. Helpful techniques to investigate a septum are transvaginal ultrasonography and sonohysterography, MRI, and hysteroscopy. Laparoscopy aids to the diagnosis. More recently 3-D ultrasonography has been advocated as an excellent non-invasive method to delineate the condition. Prior to modern imaging hysterosalpingography was used to help diagnose the uterine septum, however, hysteroscopy remains the gold standard.  

How is the procedure done?

General anaesthesia is administered to the patient to relax and make her comfortable during the procedure. Next, the cervix (the opening to the uterus) is dilated and a long thin instrument with a lighted camera (called a hysteroscope) is inserted through the cervix and into the uterus. The camera allows the surgeon to not only diagnose the uterine septum but also to guide the surgery as it is carefully detached and removed (resected) using thin, long instruments that are passed through the hysteroscope. After this wall of tissue is removed, the uterus is better prepared to carry a pregnancy to term.  

What is the recovery time?

The recovery time depends on the surgery performed. Patient will be able to return to work within a day or two following surgery and can expect a full recovery after about 2-4 weeks. There may be some abdominal pain after uterine surgery, and vaginal pain after vaginal surgery. Some women find that it is difficult to sit down comfortably for a few days after surgery. This is normal, but call your doctor if the pain worsens. There may be light spotting for up to one week after the surgery. Use a pad to absorb any blood or discharge. Avoid using tampons and abstain from sex until cleared by your doctor. Call your doctor Dr. Neha Lalla right away if you experience any symptoms of infection, such as nausea, chills, fever, or vomiting.or vomiting.