Human Reproduction, Vol. 14, No. 5, 1226-1229,
May 1999
© 1999 European Society of Human Reproduction and Embryology
Resection of uterine septum using gynaecoradiological techniques*
Division of Gynecoradiology, the Center for Human Reproduction, Illinois, the Foundation for Reproductive Medicine and the Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois, USA
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.
Key words: gynaecoradiology/infertility/recurrent miscarriages/uterine septum resection
1 To whom correspondence should be addressed at: The Center for Human Reproduction, Illinois, 750, North Orleans, Chicago, Illinois 60610, USA