ABSTRACT
Sixteen cases of diagnosed uterine septum were selected among patients presenting with infertility or repeated mid-trimester abortion. Hysteroscopic septum division using a right-angled electrode was tried under laparoscopic guidance and after exclusion of other factors that can be responsible. The whole procedure consumed an average of 25 minutes with a range of 15 to 40 minutes. All the cases were discharged on the same day. The postoperative period was smooth in all cases and minimal bleeding was reported lasting from few hours to four days and ceasing spontaneously in all patients. Hysterosalpingograms done three months after the procedure showed that 12 cases had normal configuration of the resultant cavity, in two cases the cavity was heart-shaped and in one case the septum was incompletely divided. As an intraoperative complication, a non-bleeding fundal perforation occurred in one case and was safely managed conservatively