This video demonstrates hysteroscopic management of a wide uterine septum associated with bilateral convergent lateral walls.
The surgeon first carefully maps the cavity, identifying the internal os, septum and both tubal ostia before beginning the operative procedure.
Chromopertubation is performed first, followed by preparation for operative hysteroscopy.
Because excessive endometrium obstructs visualization, it is cleared before starting the septoplasty.
The septum is treated by cold-scissor incision rather than excision, using gradual bilateral cuts while maintaining alignment with the ostia.
The procedure is extended to include lateral metroplasty, with particular attention to vascular areas and bleeding risk.
The video also includes a laparoscopic component with intra-ovarian/subcortical PRP injection, providing additional practical teaching on the technique and its limitations.