Hysteroscopic resection of intrauterine scars using a new technique

The authors describe a 5-year experience with 27 patients who had confirmed intrauterine scars at hysteroscopy, all of whom underwent resection of the scar. Of the 27, 14 became pregnant at least once, and 13 did not conceive. Hysteroscopic and hysterographic evidence of intrauterine scar was in general more severe in those who did not become pregnant. There were no cases of abdominal placentation in the 18 pregnancies after surgical repair, although there was 1 case of postpartum hemorrhage. Details of technique, including postoperative use of estrogen and the intrauterine device, are discussed.