Enhancing Hysteroscopic Techniques for the Resection of Uterine Anomalies

The field of minimally invasive gynecologic surgery has rapidly evolved with the integration of hysteroscopic techniques, fundamentally improving the diagnosis and management of uterine anomalies. Recent years have witnessed a surge in advanced instrumentation, energy sources, and imaging modalities, enabling more precise and less invasive interventions that promise superior reproductive and symptom-relief outcomes for patients. However, despite these advances, significant variability persists in the diagnostic frameworks, clinical protocols, and reporting of outcomes. Ongoing debates regarding classification systems for Müllerian anomalies, as well as inconsistencies in perioperative management and operative techniques, underscore a crucial need for standardization and evidence synthesis. Furthermore, recent studies have highlighted the importance of high-resolution imaging and simulation-based training, yet gaps remain in consolidating best practices and ensuring reproducibility across diverse practice settings.

This Research Topic aims to enhance clinical safety and efficacy in hysteroscopic resection of uterine anomalies by establishing best practices across every stage of care, from patient selection to long-term follow-up. Key objectives include defining optimal strategies for classification, planning, and execution of surgery, as well as coproducing detailed guidance on device selection, fluid and complication management, and the measurement of patient-centered outcomes. By supporting the dissemination of comparative studies, technical protocols, and pragmatic implementation guidance, this initiative seeks to address barriers to standardization, facilitate upskilling, and promote fertility-preserving, minimally invasive care for patients experiencing intrauterine anomalies.

This Research Topic is delimited to innovations, clinical protocols, and implementation strategies specifically focused on hysteroscopic resection of uterine anomalies, and does not cover alternative surgical modalities or non-surgical management options. We welcome articles that address, but are not limited to, the following themes:

• Technique innovation and standardization for septum resection, adhesiolysis, submucosal fibroid resection, T-shaped uterus remodeling, and cesarean scar niche repair;
• Advanced imaging for preoperative planning and intraoperative navigation;
• Safety protocols encompassing fluid management, electrolyte balance, and prevention of bleeding or perforation;
• Strategies for adhesion prevention and optimized uterine healing;
• Assessment and reporting of reproductive outcomes and patient-reported quality-of-life measures;
• Training initiatives, simulation-based learning, and credentialing pathways;
• Implementation science addressing outpatient pathways, cost-effectiveness, and equitable access.

Accepted article types include, but are not limited to, Original Research, Systematic Reviews/Meta-Analyses, Brief Research Reports, instructive Case Series, Perspectives, Clinical Guidelines and Consensus Statements.