Hysteroscopic metroplasty of a T-shape uterus with intrauterine adhesions using blunt spreading dissection and ploughing techniques

A 30-year-old, gravida 3, para 0, abortus 2 woman suffered from amenorrhea after dilatation and curettage (D&C) of a missed abortion at 2-month gestation. She had a mild cyclic lower abdominal pain before admission, and the estrogen/ progestogen challenge test was negative. The 3-dimensional transvaginal ultrasound image (Figure 1) revealed a T-shaped uterine cavity with intrauterine adhesions (IUAs). The thickness of the left and right lateral wall was 22 and 23 mm respectively, and the fundal uterine wall thickness was 10 mm. The T-shaped uterus with IUAs was diagnosed preoperatively.