RESECTION OF LARGE UTERINE SEPTUM DURING EARLY-PREGNANCY AND AT THE OOCYTE RETRIEVAL - PECULIARITIES OF 2 CASES

Two cases of hysteroscopic metroplasties for large septate, one perfor med at the time of oocyte retrieval, and the second at the time of cur ettage for early first trimester spontaneous pregnancy loss, are repor ted. The peculiarities of medical circumstances and surgical approache s are discussed. Each patient had an excellent post-surgical result an d a successful pregnancy. The notion that the performance of hysterosc opic surgery in women presenting with supraphysiological serum oestrad iol concentrations or an early miscarriage would increase intra-operat ive bleeding and post-operative complications respectively is challeng ed by this report. The authors emphasize that thorough counselling, me ticulous planning, appropriate follicular phase timing and excellent s urgical techniques remain the mainstay for success.