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Chapter-10 Transcervical Resection of Uterine Septum

BOOK TITLE: Manual of Hysteroscopy

Author
1. Kotdawala Parul
ISBN
9789352703692
DOI
10.5005/jp/books/18028_11
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Ahmedabad, India, VS Hospital and NHL Municipal Medical College, Ahmedabad, Gujarat, India, Kotdawala Women’s Clinic, 53/1 BMM Society, Ellisbridge Ahmedabad, Gujarat, India, Kotdawala Women’s Clinic, Ahmedabad, Gujarat, India, Sheth VS Hospital and NHL Municipal Medical College, Ahmedabad, Gujarat, India, Ahmedabad, Ahmedabad, Gujarat, India, Kotdawala Women’s Clinic, Ellis Bridge, Ahmedabad, Gujarat, India, VS Hospital and NHL Medical College, Ahmedabad, Gujarat, India
Chapter keywords
Transcervical resection, uterine septum, intrauterine device, IUD, hormonal therapy, endometrial growth, hysteroscopic septum resection

Abstract

Uterine septum is the commonest mullerian developmental anomaly where the uterine cavity is divided vertically by a myometrial segment. It is the mullerian malformation with the highest incidence of reproductive complications and poor reproductive outcomes like increased risk of spontaneous abortion and preterm delivery. This chapter covers the embryological development of uterus, incidence, classification, diagnosis, treatment, and postoperative treatment. The postoperative administration of estrogen hormonal therapy has been used to stimulate the endometrial growth, and to reduce the formation of intrauterine adhesions. In initial days of hysteroscopic septum resection, it was a common practice to insert an intrauterine device (IUD) after the resection.

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