Septal Resection Procedure for Primary Infertility | Detailed Surgical Demonstration | Dr Shilpa G B скачать в хорошем качестве

Septal Resection Procedure for Primary Infertility | Detailed Surgical Demonstration | Dr Shilpa G B

This is a detailed video of a septal resection procedure. I am using a rectoscope with monopolar cautery and glycine as the distension medium. The septum in this patient was deep, extending almost to the internal os, and fibrous in nature. As you can see, I’m taking small bites, progressing slowly and carefully. Using short bursts of energy is crucial to avoid damage, and I proceed millimeter by millimeter until both ostia are visible in the panoramic view. It is important to monitor the input and output of the distension medium and ensure there are no air bubbles during the procedure. Proper alignment of the rectoscope with the septum is essential since each case is unique. The septum may vary in width or present fundal indentation, which can sometimes lead to complications like perforation. Once the resection is complete, I place an F8 pediatric Foley catheter, which will be removed after five days. I do not typically use an intrauterine device. Postoperatively, the patient is put on estrogen-progesterone supplementation for three months before attempting pregnancy. This patient was diagnosed with a septate uterus causing primary infertility. The diagnosis was confirmed through 3D ultrasound and HSG, ruling out a bicornuate uterus. The entire procedure took 5-6 minutes and did not require laparoscopy as the findings were very clear. In some areas, I avoided using the energy source and manually pushed the rectoscope to gently separate the fibers. I used a 2.9 mm scope with a 4 mm operative sheath. The procedure went smoothly, and the patient was discharged 4 hours postoperatively. This is an unedited video at 2x speed for demonstration purposes. #SeptalResection #Hysteroscopy #InfertilityTreatment #SeptateUterus #PrimaryInfertility #FertilitySurgery #Gynecology #ReproductiveHealth #MinimallyInvasiveSurgery #UterineAnomalies