Resection Of Septum Research Articles

Diagnosis, management, and outcome of obstructed hemivagina and ipsilateral renal agenesis (OHVIRA syndrome): Is there a correlation between MRI findings and outcome?

AimTo review the experience of a single tertiary center with obstructed hemivagina and ipsilateral renal agenesis (OHVIRA syndrome) and evaluate if MRI findings correlate with outcome. MethodsPatients (n = 32) diagnosed with OHVIRA syndrome between 2001 and 2019 were analyzed. Presenting symptoms, age of menarche, age at operation, MRI findings, management, and outcome were reviewed. In sagittal MRI planes, distance from hematocolpos to perineum was measured. Measurements were compared among patients who underwent single-stage vaginoplasty and hemihysterectomy. ResultsMean age at diagnosis and mean age of menarche was 16.8 ± 6.4 (10−33) and 12.8 ± 1.0 (10–15). Main presenting complaints were abdominal pain/dysmenorrhea. Eighteen anomalies (56.3%) were on right side. Twenty-eight had ipsilateral renal agenesis, 3 patients had normal renal anatomy and one had unilateral multicystic dysplastic kidney. In MRI, 21 patients had hematocolpos, 11 patients had both hematocolpos and hematometra. 28 patients underwent single-stage vaginoplasty and vaginal septum resection. One had hemihysterectomy due to sepsis at presentation. Three patients had hemihysterectomy due to proximal vaginal septum and impossibility of vaginoplasty. During follow-up, 7 cases (21.9%) had married and 5 of these (71.4%) were pregnant or had delivered. Five patients had reoperation during follow-up. MRI images of 19 patients indicated mean distances from hematocolpos to perineum whom underwent vaginoplasty or hemihysterectomy were 33.9 ± 18.1 mm (10–79 mm) and 87.3 ± 11.0 mm (80–100), respectively (p = .009). ConclusionsGold standard treatment of OHVIRA syndrome is single-stage vaginoplasty. Distance from hematocolpos to perineum in MRI may correlate with surgical outcome. Hemihysterectomy may be an alternative for extreme proximal vaginal septum or infectious complications.

Urological anomalies associated with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome, a case series

Abstract We report four patients with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome associated with a urological anomaly other than typical renal agenesis. Three patients had a dysplastic kidney and an ectopic ureter to the vagina, and one had a vesicovaginal fistula. Although the timing of surgery differed, all patients underwent vaginal septum resection. The vesicovaginal fistula was repaired laparoscopically, and the patient was asymptomatic one year later. In the remaining three patients, resection of the dysplastic kidney and ureteral ligation were both effective procedures for the management of urine drainage from the vagina. These anomalies originate from abnormal development of the Wolffian and Mullerian ducts. Knowledge of these variants is essential for effective preoperative investigation and surgical planning.

Impact of posterior septum resection on nasal airflow pattern and warming function

Background: The functional significance of the posterior segment of the septum is not fully understood.Aims/Objectives: The purpose of this study was to evaluate the impact of posterior septum resection with varying extents on nasal airflow pattern and warming function, and to determine the appropriate resection extent on posterior septum without disturbing airflow pattern.Material and Methods: Three dimensional models were established from the nasal CT scan of a healthy female volunteer without nasal disease. The models included the normal, as well as 1 cm, 2 cm, and 3 cm extent of posterior septum resection by virtual surgery. Using computational fluid dynamics, the airflow characteristics such as average and peak airflow velocity, average wall shear stress, average temperature and turbulence kinetic energy were recorded and compared among the four models.Results: By comparison with the normal model, the virtual surgeries with varying extents of posterior septum resection (1 cm, 2 cm, and 3 cm), demonstrated little alteration on indices of the average and peak airflow velocity, average wall shear stress, airflow temperature and turbulence kinetic energy. However, a statistical difference of the abovementioned indices existed when compared between varying planes of the nasal cavity (p < .001), although this did not appear to be significantly influenced by the degree of posterior septectomy.Conclusions and significance: From an aerodynamics perspective, little disturbance on airflow pattern and warming function of nasal cavity could be detected with increasing resection of posterior septum (up to 3 cm). These results may imply that resection of the posterior septum (up to 3 cm) has little impact on nasal function.

Laparoscopic Hysterectomy and Resection of Vaginal Septum in a Patient with Bicollis Uterus

Laparoscopic Hysterectomy and Resection of Vaginal Septum in a Patient with Bicollis Uterus

Herlyn-Werner-Wunderlich syndrome presented with amenorrhea: A rare urogenital anomaly in females

A 13-year-old prepubertal girl had with primary amenorrhea and severe lower abdominal pain. Pelvic ultrasound showed double uterine cavity and a fluid collection in left uterine cavity with diffuse low level internal echoes, which appeared contiguous with the endocervix. Hymen could not be evaluated because the patient could not be taken to the gynecological table the patient was initially diagnosed as imperforate hymen, gynecologic examination was performed with sedation, and hymen has a normal patency. Magnetic resonance imaging (MRI) revealed two uterus and two cervix, normal right endometrial cavity and 17 mm fluid in the left endometrial cavity and compatible with hematometra. Hematocolpos was observed in the left half of the vagina. There was no left kidney and the right kidney was normal. Based on these findings, the patient was diagnosed as Herlyn-Werner-Wunderlich syndrome and vaginal septum resection was performed as treatment. Evaluation of the genital tract by means of MRI scanning or ultrasonography should be recommended in all girls with known renal abnormalities before the onset of menstruation.

Ultra-High-Density Activation Mapping to Aid Isthmus Identification of Atrial Tachycardias in Congenital Heart Disease.

A new electroanatomic mapping system (Rhythmia, Boston Scientific, Marlborough, Massachusetts) using a 64-electrode mapping basket is now available; we systematically assessed its use in complex congenital heart disease (CHD). The incidence of atrial arrhythmias post-surgery for CHD is high. Catheter ablation has emerged as an effective treatment, but is hampered by limitations in the mapping system's ability to accurately define the tachycardia circuit. Mapping and ablation data of 61 patients with CHD (35 males, age 45 ± 14 years) from 8 tertiary centers werereviewed. Causes were as follows: Transposition of Great Arteries (atrial switch) (n=7); univentricular physiology (Fontans) (n=8); Tetralogy of Fallot (n=10); atrial septal defect (ASD) repair (n=15); tricuspid valve (TV) anomalies (n=10); and other (n=11). The total number of atrial arrhythmias was 86. Circuits were predominantly around the tricuspid valve (n=37), atriotomy scar (n=10), or ASD patch (n=4). Although the majority of peri-tricuspid circuits were cavo-tricuspid-isthmus dependent (n=30), they could follow a complex route between the annulus and septal resection, ASD patch, coronary sinus, or atriotomy. Immediate ablation success was achieved in all but 2 cases; with follow-up of 12±8months, 7 patients had recurrence. We demonstrate the feasibility of the basket catheter for mapping complex CHD arrhythmias, including with transbaffle and transhepatic access. Although the circuits often involve predictable anatomic landmarks, the precise critical isthmus is often difficult to predict empirically. Ultra-high-density mapping enables elucidation ofcircuits in thiscomplex anatomy and allows successful treatment at the isthmus with a minimal lesion set.

Transapical septal myectomy in the beating heart via a minimally invasive approach: a feasibility study in swine

The aim of this study was to establish an original transapical septal myectomy procedure that can be performed in the beating heart via a minimally invasive approach for the treatment of hypertrophic obstructive cardiomyopathy. We designed an original intracardiac septum resection device to conduct off-pump septal myectomy in swine. A subxiphoid minithoracotomy was performed to access the apex of the heart. This resection device was inserted into the left ventricular outflow tract of the heart via the apex. The basal anteroseptal myocardium beneath the right aortic cusp was identified using a combination of transoesophageal and transthoracic echocardiography and then resected and collected by the device. Six consecutive operations were successfully and accurately performed using the custom-made device under echocardiographic guidance. All pigs survived and appeared to be normal until planned euthanasia 1 week after operation. A 300-700 mg portion of the septal myocardium was resected from the normal swine heart. Echocardiography and electrocardiogram revealed no abnormalities after resection. One exception was the fifth pig, in which mild annular regurgitation of the aortic valve occurred after repetitive resection. Postmortem necropsy demonstrated that all resections were correctly located at the basal anteroseptal septum beneath the right aortic cusp. Our study provides the first proof-of-concept evidence for a novel beating heart transapical septal myectomy procedure, which showed promising translational potential for the treatment of hypertrophic obstructive cardiomyopathy. This procedure would probably reduce operative risks and improve outcomes and reduce the demanding expertise required to perform conventional surgical myectomy.

1266 Management of Complete Septate Uterus, Duplicated Cervix, and Longitudinal Vaginal Septum

Video Objective Learn the benefit of synchronous laparoscopic and hysteroscopic approach to a complex Mullerian anomaly. Review laparoscopic resection of endometriosis and hysteroscopic resection of complete uterine septum. Setting 19 year old female with complex Mullerian anomaly desiring fertility referred to a minimally invasive gynecologic surgery practice for surgical management. Interventions Diagnostic laparoscopy with resection of endometriosis and hysteroscopic resection of uterine septum. Conclusion A combined laparoscopic and hysteroscopic approach is beneficial when considering surgical management of complex Mullerian anomalies.

2677 Surgical Repair of Uterovaginal Septums and Other Müllerian Anomalies

Video Objective This video offers a brief overview of mullerian anomaly repair focusing specifically on uterine and vaginal septums. Setting The septate uterus (ASRM Class V) is both the most common uterine anomaly and the most likely to be associated with adverse pregnancy outcomes. Women with septate uteri are at an increased risk for many reproductive complications including spontaneous abortion and preterm delivery. Interventions To reduce the risk of reproductive complications, surgical repair through hysteroscopic resection of the uterine septum can be performed. This video highlights the five essential steps to surgical repair: preoperative imaging, preoperative preparation, diagnostic hysteroscopy, hysteroscopic septoplasty and postoperative treatment. This video also demonstrates the repair of a vaginal septum, which often accompany uterine anomalies. Conclusion Operative hysteroscopy offers a minimally invasive approach to repairing uterine septums. With appropriate preoperative planning and an organized, stepwise operative technique, a normal uterine cavity can be safely restored and reproductive outcomes improved.

1329 Surgical Management of Longitudinal Vaginal Septum and Complete Uterine Septum

Video Objective To illustrate the steps for surgical correction of a longitudinal vaginal septum and complete uterine septum using narrative video footage. Setting A longitudinal vaginal septum and complete uterine septum are anomalies of Mullerian duct development that occur during embryological development. The exact incidence of Mullerian anomalies is difficult to determine, since women with them are often not diagnosed if asymptomatic, but is approximately 2-3%. In women who present with infertility, the incidence of uterine anomalies is often higher, approximately 5-10%. Although some women with vaginal anomalies are asymptomatic, some may note difficulty inserting tampons or dyspareunia. Reproductive outcomes in women with a complete uterine septum include possible decreased chance of implantation, and increased risk of spontaneous abortion and preterm labor/delivery. Benefits of surgical correction of a uterine septum include possible improved reproductive success and decreased poor obstetric outcomes. Interventions In this video, we illustrate the key surgical steps of excision of a longitudinal vaginal septum and hysteroscopic metroplasty for a complete uterine septum resection. Key surgical steps include: 1. Exam under anesthesia Lidocaine with epinephrine injection into vaginal septum. 2. Excision of septum with mayo scissors and re-approximation of vaginal mucosal edges. 3. Dilation of one side of cervical canal and placement of pediatric foley catheter to instill methylene blue-dyed fluid. 4. Hysteroscopic incision of septum using bipolar resectoscope until blue dye is visualized. 5. Complete incision of uterine septum. 6. Placement of uterine balloon for endometrial healing. 7. Vaginal packing placed to promote vaginal healing. Conclusion Surgical management of a longitudinal vaginal septum and complete uterine septum is a minimally invasive procedure to correct these Mullerian anomalies that could impact a woman's quality of life and possible reproductive success in the future.

2860 Diagnostic Hysteroscopy in Missed Abortion

Video Objective To present two surgical cases of diagnostic hysteroscopy at the time of uterine evacuation for spontaneous abortion and to review the literature on hysteroscopy use in the setting of spontaneous abortion. Setting One 37-year-old G4P1021 at 9 weeks 1-day gestation with spontaneous abortion and a history of uterine septum status post prior septal resection, who desired surgical management with uterine evacuation. The second case is a 38-year-old G5P2022 at 9 weeks gestation with spontaneous abortion and a history of recurrent pregnancy loss who desired surgical management with uterine evacuation. Both patients underwent uncomplicated diagnostic hysteroscopy and suction curettage at an academic medical center. Interventions In this surgical video, we present two cases of women with first trimester spontaneous abortion who desired surgical management with uterine evacuation. Both cases had preoperative indications for uterine cavity inspection with hysteroscopy given their histories of a uterine anomaly and recurrent pregnancy loss. Diagnostic hysteroscopy was performed in both cases prior to the suction dilation and curettage procedures to closely inspect the cavities as well as identify the implantation site for site-specific curettage as compared to the traditional global suction curettage. Additionally, we summarize the current literature on hysteroscopy use in the setting of spontaneous abortion. Conclusion Diagnostic hysteroscopy at the time of uterine evacuation for patients with spontaneous abortion is a feasible alternative to traditional suction curettage alone and can provide additional clinical information regarding implantation site for directed resection as well as uterine cavity inspection for uterine anomalies or alternative pathology.

Factors associated with increased atrial septum thickness in infants with left heart hypoplasia syndrome

Introduction: Hypoplastic Left Heart Syndrome (HLHS) encompasses a spectrum of cardiac malformations characterized by underdevelopment of the left heart structures and aorta that, despite the low incidence among cases of congenital heart disease have high mortality rates. Phenotypic variations of the anomaly may influence the success of the interventional and surgical procedures, especially the characteristics related to the atrial septum and foramen ovale (FO), in cases where balloon catheter septostomy is necessary to maintain the interatrial shunt.Objectives: To analyze the gross features of the atrial septum of hearts with HLHS in order to define and guide therapeutic procedures on this structure, correlating them with other morphological alterations of the syndrome, such as the anatomy of the heart valves. Methods: We studied 18 hearts of patients diagnosed and deceased with HLHS, all belonging to the anatomic collection of the Laboratory of Pathology of the Heart Institute (InCor) HCFMUSP. The atrial septum was evaluated for FO patency and size, as well as for the presence of bulging of its lamina to one or the other atrial cavity. Other morphological features of the anatomical specimen such as atresia or patency of the mitral valve and caliber of the ascending aorta and pulmonary trunk were annotated. After resection of the atrial septum, histological sections were made for microscopic measurements of the maximum and minimum thickness of the lamina (atrial septum).Results: The mean age of the patients was 34.5 days (57% male), with a mean atrial septal thickness of 1.90 mm (0.63-4.09 mm). The mean diameter of the pulmonary trunk and aorta were 1.16 cm and 0.22 cm, respectively. FO was patent in 39% of cases (mean diameter 4,4 mm, range 4 to 8 mm), with bulging of the lamina to one of the atrial cavities in half of the cases. The mitral valve was atretic in 21% of the specimens. There was a significant difference in the mean thickness of the atrial septum in cases with patent versus closed FO, being thicker in cases where the FO was closed (p = 0.047). The ratio FO/age presented a statistically significant negative correlation with the atrial septum thickness (r = -0.76 and p &lt;0.05).Discussion and Conclusions: The results indicate that the patency and size of the oval foramen may influence the thickness of the atrial septum, suggesting that this factor may limit the success of therapeutic interventions, especially balloon catheter septostomy.

Preterm Delivery After Septum Resection

Preterm Delivery After Septum Resection

Herlyn-Werner-Wunderlich Syndrome in pregnancy

Objectives: To prevent Herlyn-Werner-Wunderlich syndrome’s complication in pregnancyCase Report: Presenting 2 cases pregnant with Herlyn-Werner Wunderlich syndrome, which is both of the case diagnosed at teenage and becoming pregnant then delivered by cesarean due to severe preeclampsia.Conclusion: High suspectious is needed to diagnose Herlyn-Werner-Wunderlich syndrome and early diagnosis is better prognosis. The gold standard diagnostic is MRI. The treatment is resection of the vaginal septum, drainage, and marsupialization. Preconception Counseling is important to prevent or to reduce the pregnancy complications.

Two cases of uterine and vaginal malformations

Objective: To evaluate the efficacy of hysteroscopy and laparoscopy for oblique uterine septum and oblique vaginal septum. Case Report: There were one patient with oblique uterine septum and another patient with oblique vaginal septum. Case 1 was a 14-year-old female, who revealed a left unicornuate uterus and right non-communicating rudimentary horn with a cavity. Using a resectoscope with a needle electrode, the authors made a transverse incision on the bulging area of the septum at the level of the tubal ostium. Case 2 was a 14-year-old female with a double vagina, large fluid collection in the occluded right hemivagina, and absent of the right kidney. The authors performed a hysteroscopy, resection of the vaginal septum, and vaginoplasty. Conclusion: Intraoperative ultrasound monitoring can improve surgery safety, with the advantages of lesser amounts of trauma, a good therapeutic effect, fewer complications, less bleeding, quick recovery, and simultaneous protection of the hymen.

The Treatment of Severe Congenital Scoliosis Associated With Type I Split Cord Malformation: Is a Preliminary Bony Septum Resection Always Necessary?

Single-stage spine-shortening osteotomy without treating spinal cord malformations may have potential advantages for the treatment of severe congenital scoliosis (CS) with type I split spinal cord malformation (SSCM); however, the study of this technique was limited. To evaluate the safety and efficacy of a single-stage spine-shortening osteotomy in the treatment of severe CS associated with type I SSCM. A retrospective study was designed to compare 2 case series including 12 severe CS patients with type I SSCM and 26 patients with type A cord function (without spinal cord malformations, evoked potential abnormalities, and neurological dysfunctions preoperatively) treated with a single-stage spine-shortening posterior vertebral column resection (PVCR). Patient demographic, clinical, operative, and radiographic data were obtained and compared between groups. The surgical procedure was successfully performed in both groups, and the patients were observed for an average of 44.9 mo (range 25-78 mo) after the initial surgery. The radiographic parameters, intraoperative data, and new neurological deficits showed no difference, while deformity angular ratio (SSCM group: control group=16.6±3.6: 20.1±3.9, P=.01) and corrective rate (SSCM group: control group=50%: 58%, P=.046) of the main curve were statistically different between groups. All of the new neurological deficits were recovered within 1 yr. The single-stage spine-shortening PVCR with moderate correction could be applied to the treatment of CS associated with type I SSCM. This strategy can achieve safe spinal deformity correction while obviate the neurological complications brought by the detethering procedures, which merits further clinical investigation.

Use of an Intrauterine Foley Probe for Ultrasound-Assisted Hysteroscopic Resection of Complete Uterine Septum

To demonstrate our technique for hysteroscopic resection of the complete uterine septum. Step-by-step description and demonstration of the procedure using pictures and video (educational video). The video was approved by our hospital's Ethical Committee. Uterine malformations represent a rare, yet usually asymptomatic condition that can be associated with poor obstetric outcomes. The European Society for Gynaecological Endoscopy(ESGE)/European Society of Human Reproduction and Embryology (ESHRE)classification is widely accepted for the description of female genital tract anomalies. Treatment of the uterine septum should be considered if fertility is desired, with hysteroscopic resection the gold standard procedure. A patient with a U2bC2V1 malformation according to the ESGE/ESHRE classification was treated with hysteroscopy. The procedure was performed in the operating room under general anesthesia using a 9-mm hysteroscope with a bipolar cutting loop. Surgery began with resection of the vaginal septum with monopolar electrosurgery until the cervix was visualized. A Foley probe was placed in 1 uterine hemicavity, and then hysteroscopy on the other hemicavity was performed. Transrectal ultrasound guidance was used to identify the limits of the septum and thereby enhance the safety of the procedure. Resection of the septum started in the upper part until the Foley probe was seen, then continued downward until internal cervical orifice was reached. In the hysteroscopic follow-up after 3 months, we visualized a small residual septum that was resected to fully restore the uterine cavity and improve the patient's obstetric outcomes. The procedure was completed without complications, and a second-look hysteroscopy showed a normal uterine cavity. The combination of real-time ultrasound guidance and placement of an intrauterine balloon through the cervix may increase safety during the procedure by providing clear visualization of the uterine cavity and septum border during resection.

An Unusual Cause of Recurrent Urinary Retention in an Adolescent Female

Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare, combined Mullerian and Mesonephric duct anomaly characterized by the triad of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. We present the case of an otherwise healthy 16-year-old female with acute urinary retention secondary to HWWS. The diagnosis was established with abdominal ultrasound and Magnetic Resonance Imaging (MRI). The patient subsequently underwent surgical resection of the vaginal septum resulting in relief of obstruction. Clinical symptoms in patients with HWWS typically present after menarche with progressive hematometra causing pain and compression of localized structures. Even though ultrasound can help in the diagnosis, MRI is the best choice of imaging for the visualization of these anomalies. The diagnosis of HWWS is important to consider in young females of reproductive age presenting with symptoms of obstruction of adjacent structures. Our patient presented with acute urinary retention which is a rare symptom in this entity. A high index of clinical suspicion and awareness of the syndrome are required to make a speedy diagnosis and prevent future complications.

Should diagnostic hysteroscopy and diagnostic laparoscopy be a combined primary work up in evaluating primary &amp;amp; secondary infertile women?

The aim of this study was to clarify the role of simultaneous combined diagnostic approach using laparoscopy and hysteroscopy in the primary evaluation of female infertility. Also to study its significance in etiopathology of primary and secondary infertility.Materials and Methods: In a prospective study of 100 infertile female, patient were thoroughly examined, evaluated & underwent Hysterolaparoscopy as a primary work up. Patient divided into 2 categories 50 patient of primary infertility & 50 patients as 20 infertility Results: In this study it was found that tuberculosis (TB) were present in 7 patients of primary (10) & 2 patients of secondary (20) infertility. Pelvic adhesions were found in 7 patients of 10 & 5 patients of 20 infertility. Bilateral tubal black seen in 4 patients of 10, none of the patient of 20 infertility were found to have bilateral tubal block. Unilateral tubal block – seen in 4 patients of 10 & 2 patients of 20 infertility Also on hysteroscopy uterine anomalies were present in 3 patients of 10 & 5 patient of 20 which includes Arcuate, Bicarnuate, unicornuate, Septate uterus. Submucous fibroid were found in 1 patient of 10 & 3 patient of 20 infertility. Hysterolaparoscopy plays very important role as diagnostic tool in the infertile women.Also, diagnostic hysteroscopy has significant role in the evaluation of the cause of female infertility both primary & secondary. Furthermore hysterolaparoscopy can be used simultaneously for treatment of any pathological condition like septal resection, polycystic ovary drilling, fimbrial block & many more. However, one can rarely expect to find the definite underlying reason for infertility in all other methods of evaluation.Conclusion: We consider combined laparoscopy and hysteroscopy to be the most important procedures in the evaluation of female infertility & combined diagnostic laparoscopy and hysteroscopy should be performed in all infertile patient of primary & secondary infertility before subjecting her for further treatment.

Fertility and pregnancy outcomes following hysteroscopic metroplasty of different sized uterine septa: A retrospective cohort study protocol.

Different sizes of uterine septum between infertile women and patients with abortions may have a clinical relevance in reproductive performance after surgery. This study aimed to assess if the fecundity of women after surgical correction of the uterine septum is associated with septum size.A retrospective, single-center, cohort study was conducted in Peking Union Medical College Hospital using patients aged between 21 and 37 years. Hysteroscopic metroplasty was performed on 121 patients with a uterine septum. The septum size was assessed by ultrasonography and hysteroscopy. The subjects were divided into 3 groups: Group A consisted of 35 women with complete uterine septum (mean ± standard deviation (SD) age 28.29 ± 3.53; group B consisted of 48 women with uterine septum >2.5 cm (mean ± SD age 28.85 ± 3.63); and group C consisted of 48 women with uterine septum ≤2.5 cm (mean ± SD age 28.79 ± 3.74). Age and body mass index (BMI) were not significantly different among the 3 groups.No serious hysteroscopic complications occurred. However, uterine septa were observed in 4 cases after surgery and 6 cases of intrauterine adhesions were observed after long-term follow-up. The abortion rate decreased, and term delivery rate increased significantly in the 3 groups after hysteroscopic metroplasty. The infertility rate was significantly lower in group C after surgery. However, no significant difference was observed in the infertility rate between groups A and B. The recurrent abortion rate was significantly lower in group A than in groups B and C before surgery. After surgery, the infertility rate was significantly higher in group A than in group B (28.57% and 10.53%, respectively; P = .048). After at least 12-months of follow-up, the pregnancy rate in group A was significantly lower than that in group C (71.43% and 89.47%, respectively; P = .048).Uterine septum resection improves obstetrical outcomes. After surgery, the infertility rate was significantly higher in patients with complete uterine septum than in those with a large partial uterine septum, and the pregnancy rate in patients with complete uterine septum was lower than that in the patients with a small partial uterine septum.