Hysteroscopic septum resection is a minimally invasive procedure with a high safety profile, though it involves specific risks like uterine perforation and fluid imbalance. Most complications are manageable, with success rates often exceeding 90% when performed by experienced specialists in fertility-focused Italian centers.
- Intraoperative safety: Uterine perforation occurs in 1.1% to 1.6% of regulated clinical cases.
- Fluid management: Surgeons monitor liquid absorption to prevent electrolyte imbalances or pulmonary edema.
- Tissue healing: Intrauterine adhesions or scar tissue form in approximately 5% of patients post-surgery.
- Obstetric outcomes: Rare risks include uterine rupture or fetal malpresentation in subsequent pregnancies.
Bookimed Expert Insight: Data from specialized Italian centers like Ospedale Santa Maria indicates that surgeon volume is the primary risk modulator. Facilities performing over 1,000 reproductive procedures annually, such as those led by doctors with 30+ years of experience like Pasquale Totaro, utilize advanced monitoring to keep cervical trauma and incomplete resection rates below national averages. These high-volume centers often integrate hormonal follow-ups to further minimize adhesion risks.
Patient Consensus: Patients emphasize that while the procedure significantly improves pregnancy potential, following post-operative estrogen protocols for up to 21 days is vital to prevent scarring. Many recommend confirming the surgeon's personal revision rate to avoid the need for a second corrective surgery.