Surgical Approach to Uterine Septum: A Randomized Controlled Trial
Northwestern University
Summary
The objective of this study is to determine if the use of scissors without electrosurgery is superior to bipolar electrosurgery for resection of uterine septum. The investigators will be comparing procedure-level variables such as operative time, complications, and need for additional procedures.
Description
This study is being done to compare two different surgical techniques that can be used to remove the uterine septum. At Northwestern, both procedures are done routinely. Surgeon preference and comfort dictates which is offered. Both techniques are thought to achieve the same goal of removing the participants septum with a procedure called a hysteroscopy in which the participants are taken to the operating room and a scope with a camera is inserted inside their uterus while it is expanded with sterile water. The difference is the instrument used to remove the septum. One technique uses scissors…
Eligibility
- Age range
- 22–44 years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion criteria * Have a confirmed septum (\>1.0 cm) confirmed with 3D imaging and/or MRI * 20-44 years old Exclusion criteria * Known tubal disease * Bleeding diastasis * No blood thinners * No concurrent laparoscopy scheduled * Patient with confirmed fibroids over \>1 cm FIGO (International Federation of Gynecology and Obstetrics) type 1
Interventions
- ProcedureRemoval of uterine septum with hysteroscopic scissors without electrosurgery.
Hysteroscopic septoplasty utilizing scissors without electrosurgery followed by hysteroscopic morcellation of residual tissue
- ProcedureHysteroscopic septoplasty utilizing bipolar electrosurgery
Hysteroscopic septoplasty utilizing bipolar electrosurgery
Location
- Northwestern Medicine Prentice Women's HospitalChicago, Illinois