Uterine Septum Resection

Definition - What does Uterine Septum Resection mean?

A uterine septum resection is a surgical procedure which involves removing the wall or septum within the uterus formed as a result of a birth abnormality such as a septate uterus. It is mostly performed with the help of a camera called hysteroscope, which is inserted through the vagina and cervix. A septate uterus is an abnormality from birth in which the upper portion of the uterus is partitioned into two halves by a central wall. Women with septate uteri are prone to repeated pregnancy losses, compromised fertility, and premature deliveries.

The procedure is also referred to ask a hysteroscopic transcervical uterine septum resection (TCRS).

FertilitySmarts explains Uterine Septum Resection

A hysteroscopic transcervical uterine septum resection offers the following advantages:

  • It is a minimally invasive procedure that enables a doctor to diagnose and remove the septum in one sitting, especially when combined with laparoscopy
  • The duration of the procedure is shorter
  • Usually, the procedure does not cause worrisome bleeding
  • It has a significant impact on the reproductive potential of a woman; it drastically cuts miscarriage rates

Just like any other major surgery, TCRS is performed in the operating room under sedation. The doctor gently widens the cervix with an instrument and then passes the hysteroscope through the cervix and up into the uterus. A wire loop electrode is used to guide the position, size, and depth of the septum. This application of electric current also facilitates removal of the septum as well as the destruction of the raw surfaces. The doctor then cuts the septum with a fine wire that sparks current.

Although TCRS is a relatively safe procedure, following complications may sometimes ensue:

  • If the partition is too deep, the wall of the uterine muscle may be damage,d resulting in heavy bleeding or even uterine rupture.
  • Use of laser during the procedure may lead to gas embolism – a condition in which gas bubbles from laser find their way into the blood vessel and block it. The condition can be fatal as these bubbles can enter the lungs, and thereby impede breathing.
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