Hysteroscopic Septum Resection Procedure
Jul 05, 2022
Source: Cainiu Health
Dr. Chong Yiwen
Introduction
Patients must undergo preoperative preparation examinations before surgery. The dilation and separation technique is primarily performed under direct hysteroscopic visualization, enabling anatomical and precise dissection of adhesed areas. In the “plowing” separation technique, adhesions between the anterior and posterior uterine walls are first separated laterally (left and right), followed by plowing-like incision and excision of superficial sheet-like scar tissue. Vital signs must be monitored within 24 hours postoperatively.
Uterine septum is a type of uterine malformation—and the most common one. Women with a uterine septum are prone to recurrent miscarriages during pregnancy and may even experience infertility.
① Preoperative Preparation
To enhance surgical success rates, patients must undergo preoperative evaluations, including transvaginal ultrasound, complete blood count (CBC), and coagulation function tests.
② Surgical Procedure
Two primary techniques are commonly employed for uterine septum resection: the “spreading separation” method and the “plowing separation” method. In the spreading separation technique, adhesions are anatomically identified and precisely dissected under direct hysteroscopic visualization. In contrast, the plowing separation method first involves separating adhesions between the anterior and posterior uterine walls laterally, followed by systematic, “plow-like” incisions to excise superficial, sheet-like scar tissue.
③ Postoperative Management
Vital signs must be closely monitored for the first 24 hours postoperatively, with particular attention to signs of wound bleeding or infection.
Patients should rest adequately after surgery, abstain from sexual intercourse, maintain a light diet, avoid spicy, stimulating, or pro-inflammatory foods, and consume ample fresh vegetables and fruits.
