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 mis carriages (n = 5)] underwent in-office resection of a uterine septum under fluoroscopic control. The main outcome measure was complete resection of ut erine septum. Resections were carried out using either hysteroscopic scisso rs in combination with a specially designed uterine balloon catheter, or mi crolaparoscopy scissors in conjunction with a cervical cannula. In all pati ents the septum was successfully resected without any intra-operative compl ications. We conclude that ambulatory gynaecoradiological resection of uter ine septa is a safe and simple procedure. It avoids utilization of expensiv e operating room time, general anaesthesia, and some complications associat ed with hysteroscopic resection, such as fluid retention and electrolyte im balance.