Septal Resection

Hysteroscopic septal resection is a minimally invasive surgical procedure used to correct a uterine septum—a congenital anomaly where a fibrous or muscular band divides the uterine cavity. This condition is a common cause of recurrent miscarriages, infertility, and abnormal uterine bleeding. By removing the septum, the procedure improves the chances of successful pregnancy and enhances overall uterine health.

Why is Hysteroscopic Septal Resection Performed?

This procedure is recommended for women experiencing:

• Recurrent miscarriages
• Unexplained infertility
• Abnormal menstrual bleeding
• Painful periods (dysmenorrhea)
• Difficulty in carrying a pregnancy to term

A uterine septum is typically diagnosed through imaging techniques like ultrasound, MRI, or hysterosalpingography (HSG) before confirming with hysteroscopy.

Procedure Overview

Hysteroscopic septal resection is a day-care procedure performed without external incisions. The steps include:

1. A hysteroscope (a thin, lighted telescope) is inserted through the vagina and cervix into the uterus.
2. A saline or carbon dioxide solution is used to expand the uterine cavity for a clear view.
3. The fibrous or muscular septum is carefully cut and removed using electrocautery, scissors, or a resectoscope.
4. If necessary, a small balloon catheter or intrauterine device (IUD) may be placed temporarily to prevent adhesions.

Benefits of Hysteroscopic Septal Resection

• Minimally Invasive: No external cuts, reducing recovery time and risk of complications.
• Improves Fertility: Enhances the chances of conception and full-term pregnancy.
• Quick Recovery: Most women resume normal activities within a few days.
• Effective Symptom Relief: Corrects menstrual irregularities and uterine abnormalities.

What to Expect After the Procedure?

• Mild cramping, spotting, or watery discharge for a few days
• Most women recover within 1-2 days
• Temporary use of hormonal therapy or an IUD may be recommended to prevent adhesions

When to Seek Medical Attention?

Although rare, complications can occur. Seek medical help if you experience:

• Severe abdominal pain
• Heavy or prolonged bleeding
• Fever or foul-smelling discharge (signs of infection)

Conclusion

Hysteroscopic septal resection is a safe and effective procedure that corrects a uterine septum, improving fertility outcomes and reducing pregnancy-related risks. It plays a crucial role in reproductive health for women with congenital uterine anomalies.

For expert care, Dr. Apoorva Pallam Reddy provides advanced diagnostic and surgical solutions tailored to each patient’s needs, ensuring optimal outcomes in fertility and uterine health.