High-Risk Infertility Case Successfully Managed with Laparoscopy & Hysteroscopy at Sangolkar Hospital, Sangli

A 34-year-old woman presented with primary infertility and was diagnosed with a septate uterus, a known cause of infertility and recurrent pregnancy loss.

The case was high-risk due to multiple co-morbidities:

• Epilepsy

• Obesity

• Hypothyroidism
  

These conditions significantly increased the anesthetic and surgical risk.

Diagnosis

• Septate uterus causing infertility

• High-risk surgical profile due to neurological, endocrine, and metabolic conditions
  

Procedure: Laparoscopy & Hysteroscopic Septum Resection

⚕️ Surgical Plan & Execution:

• Diagnostic laparoscopy to assess pelvic anatomy

• Hysteroscopic septum resection using a bipolar resectoscope under saline medium

• Continuous monitoring due to known seizure disorder
  

🎥 A short surgical video of hysteroscopic septum resection was documented for academic sharing.

Intra-Operative & Post-Operative Challenges

⚠️ Complications Managed Successfully:

• One episode of convulsions intra-operatively

• One episode of convulsions on post-operative day 3
  

👨‍⚕️ These were promptly managed with the support of:

• Anesthetist

• Physician

• Continuous multidisciplinary monitoring