{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:47:49Z","timestamp":1782506869700,"version":"3.54.5"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Septate uterus is the most common congenital uterine anomaly. It is associated with increased risks of adverse obstetric outcomes. Hysteroscopic metroplasty is the standard minimally invasive treatment in selected patients, although its effect on reproductive outcomes remains controversial. We present a case of hysteroscopic metroplasty in a 31-year-old woman with a complete uterine septum extending to the internal cervical os (class U2b5) and a history of preterm delivery at 26\u00a0weeks gestation. The procedure was performed using an operative hysteroscope with a bipolar Versapoint spring electrode. The septum was resected progressively under direct visualization until both ostia were identified at the same level and healthy pink myometrial tissue was seen. This video case report demonstrates a systematic approach to hysteroscopic metroplasty, providing practical guidance for surgeons performing this procedure. Careful patient selection and detailed counselling are essential to ensure that appropriate candidates understand the current evidence.<\/jats:p>","DOI":"10.1093\/jscr\/rjag527","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:31:54Z","timestamp":1781613114000},"source":"Crossref","is-referenced-by-count":0,"title":["Hysteroscopic metroplasty for a complete uterine septum: step-by-step technique and surgical pearls"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6632-2883","authenticated-orcid":false,"given":"Ee Thong","family":"Lim","sequence":"first","affiliation":[{"name":"Manchester University NHS Foundation Trust , Manchester ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Saaed","family":"ElFarran","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust , Manchester ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Mosedale","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust , Manchester ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Mathur","sequence":"additional","affiliation":[{"name":"Developmental Biology and Medicine, School of Medical Sciences, The University of Manchester , Manchester ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Tsampras","sequence":"additional","affiliation":[{"name":"Developmental Biology and Medicine, School of Medical Sciences, The University of Manchester , Manchester ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026062616103459600_ref1","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/j.jmig.2021.10.001","article-title":"Effect of hysteroscopic metroplasty on reproductive outcomes in women with septate uterus: systematic review and meta-analysis","volume":"29","author":"Carrera","year":"2022","journal-title":"J Minim Invasive Gynecol"},{"key":"2026062616103459600_ref2","doi-asserted-by":"publisher","first-page":"1361358","DOI":"10.3389\/fendo.2024.1361358","article-title":"Does septum resection improve reproductive outcomes for women with a septate uterus? A systematic review and meta-analysis","volume":"15","author":"Liu","year":"2024","journal-title":"Front Endocrinol"},{"key":"2026062616103459600_ref3","doi-asserted-by":"publisher","first-page":"2032","DOI":"10.1093\/humrep\/det098","article-title":"The ESHRE\/ESGE consensus on the classification of female genital tract congenital anomalies","volume":"28","author":"Grimbizis","year":"2013","journal-title":"Hum Reprod"},{"key":"2026062616103459600_ref4","doi-asserted-by":"publisher","first-page":"1131","DOI":"10.1007\/s00404-021-05975-2","article-title":"Does hysteroscopic resection of uterine septum improve reproductive outcomes: a systematic review and meta-analysis","volume":"303","author":"Krishnan","year":"2021","journal-title":"Arch Gynecol Obstet"},{"key":"2026062616103459600_ref5","doi-asserted-by":"publisher","volume-title":"Cochrane Database of Systematic Reviews","author":"Rikken","DOI":"10.1002\/14651858.CD008576.pub4"},{"key":"2026062616103459600_ref6","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1016\/j.jmig.2007.04.010","article-title":"Small-diameter hysteroscopy with Versapoint versus resectoscopy with a unipolar knife for the treatment of septate uterus: a prospective randomized study","volume":"14","author":"Colacurci","year":"2007","journal-title":"J Minim Invasive Gynecol"},{"key":"2026062616103459600_ref7","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1016\/j.jmig.2016.11.008","article-title":"Practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)","volume":"24","author":"AAGL Practice Report","year":"2017","journal-title":"J Minim Invasive Gynecol"},{"key":"2026062616103459600_ref8","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1016\/j.fertnstert.2024.02.033","article-title":"Evidence-based diagnosis and treatment for uterine septum. A guideline","volume":"122","author":"Practice Committee of the American Society for Reproductive Medicine","year":"2024","journal-title":"Fertil Steril"},{"key":"2026062616103459600_ref9"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag527\/68629979\/rjag527.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag527\/68629979\/rjag527.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:10:59Z","timestamp":1782504659000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag527\/8719265"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag527","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag527"}}