Hysteroscopic management of mullerian fusion defects

Operative hysteroscopy for mullerian fusion defects in properly selected cases and in experienced hands is a safe and effective method of management of uterine septal defects associated with recurrent pregnancy losses. For the patient, it is a more acceptable alternative because it avoids laparotomy, a lengthy hospital stay, and blood transfusions. Medical costs are reduced compared with more traditional approaches. While providing the same level of success, this technique makes a vaginal delivery possible.