Hysteroscopic septoplasty is a minimally invasive surgical procedure that involves the correction of a uterine septum—a condition in which there is a wall-like structure (septum) inside the uterus that partially or completely divides the uterine cavity. This procedure is performed to improve fertility, reduce the risk of pregnancy complications, and alleviate menstrual symptoms caused by the septum pain.
Hysteroscopic septoplasty is typically
performed when a uterine septum is diagnosed and is believed to be contributing
to infertility, recurrent pregnancy loss, or menstrual problems.
The primary purposes of hysteroscopic
septoplasty are:
To remove or reshape the uterine septum, creating a more normal uterine cavity.
To enhance fertility by providing a suitable environment for embryo implantation.
To reduce the risk of miscarriages or preterm births associated with uterine septum.
Here is an overview of the procedure:
Hysteroscopic septoplasty is typically performed under general anesthesia, although in some cases, regional or local anesthesia may be used.
A hysteroscope, a thin, lighted tube with a camera, is inserted through the cervix and into the uterus, allowing the surgeon to visualize the septum.
Specialized instruments are introduced through the hysteroscope to remove or resect the septum. This can involve cutting and reshaping the septum until a more normal uterine cavity is achieved.
Any removed tissue or septal fragments are typically aspirated or flushed out of the uterus.
Once the septum has been adequately corrected, the hysteroscope is removed.
Hysteroscopic septoplasty involves no
external incisions. The hysteroscope is inserted through the cervix, minimizing
trauma to surrounding tissues.
The main instruments used during
hysteroscopic septoplasty are the hysteroscope itself and specialized
instruments for tissue removal and septum correction.
The length of hysteroscopic septoplasty can
vary but is typically relatively short, ranging from 15 minutes to an hour,
depending on the complexity of the septum.
Standard
monitoring equipment, such as vital sign monitors, may be used to ensure the
patient's safety during the procedure.
Potential
complications of hysteroscopic septoplasty may include:
Hysteroscopic septoplasty is expected to
result in a more normal uterine cavity, which can improve fertility outcomes
and reduce the risk of pregnancy complications associated with a uterine
septum.
– Alternatives to Surgery
Practically, no alternative option w.r.t. pain.
– Scarring
Hysteroscopic septoplasty typically does not result in external scarring, as it involves no external incisions.
Post-operative care may include:
– Hospital Stay
Hysteroscopic septoplasty is often performed as an outpatient procedure, meaning that patients can usually return home on the same day without the need for a hospital stay.
Recovery time is relatively short for hysteroscopic septoplasty. Patients may experience mild cramping and light bleeding for a few days. Most individuals can return to their regular activities within a few days, but it's essential to follow the post-operative care instructions provided by the healthcare provider. Full recovery typically occurs within a few weeks.