Hysteroscopic Diverticulum Resection and Repair

Hysteroscopic repair can be considered after specialist evaluation when there is prolonged menstruation, post-menstrual spotting, or impaired fertility, and imaging suggests a superficial diverticulum at the incision site with acceptable residual myometrial thickness. The decision is based on factors such as the severity of symptoms, the extent and depth of the defect, the thickness of the residual myometrium, previous surgical history, risk of infection, and fertility plans.