Ultrasound-Guided Hysteroscopic Metroplasty

Abstract

<h3>Study Objective</h3> This video abstract will demonstrate simultaneous use of pelvic ultrasound and hysteroscopic metroplasty. <h3>Design</h3> N/A. <h3>Setting</h3> The procedure was performed in the operating room under general anesthetic with the patient positioned in the dorsal lithotomy position. Bedside pelvic ultrasound was performed by a skilled assistant. A 2.9mm operative hysteroscope with a 30-degree lens and a bipolar electrosurgery device were selected. Normal saline was used as distention media. <h3>Patients or Participants</h3> The patient was selected based on her history of septate uterus and desire to undergo metroplasty and insertion of levonorgestrel-containing intrauterine system. <h3>Interventions</h3> The procedure performed was ultrasound-guided hysteroscopic resection of uterine septum. <h3>Measurements and Main Results</h3> Ultrasound-guided hysteroscopic resection of uterine septum was demonstrated. <h3>Conclusion</h3> This video demonstrated that simultaneous use of pelvic ultrasound and hysteroscopic metroplasty improves visualization during resection of uterine septum and has been demonstrated to increase the rates of complete resection. It is a useful tool that can be added to hysteroscopic resection of uterine septum.