Laparoscopic-Assisted Hysteroscopic Metroplasty for a Hybrid Septate/Bicornuate Uterus

Abstract

Study Objective

Demonstrate how laparoscopy can be an instrumental tool in the diagnosis and surgical management of a complete uterine septum.

Design

Surgical video.

Setting

OR in large, tertiary care academic hospital.

Patients or Participants

Surgical footage was obtained from one patient with a hybrid septate bicornuate uterus with a complete longitudinal uterine and vaginal septum who underwent diagnostic laparoscopy and hysteroscopic metroplasty and vaginal septoplasty.

Interventions

Laparoscopic-guided hysteroscopic metroplasty, vaginal septum excision.

Measurements and Primary Results

Demonstrating how laparoscopy can aid in accurate diagnosis of uterine anomalies, especially in the setting of inconclusive imaging, while also illustrating safe and effective techniques for complete hysteroscopic resection of a uterine septum.

Conclusion

Uterine anomalies are congenital abnormalities in uterine architecture that can have significant ramifications on patients’ gynecologic and reproductive health. They can often be difficult to diagnose and surgically manage. Laparoscopy is an effective tool to aid in the accurate diagnosis of uterine anomalies as well as guide the safe and precise removal of a uterine septum.