Laparoscopic Strassman's metroplasty for bicornuate uterus - is it relevant?

被引：2

作者：

Matsaseng, T. ^{[1
]}

Kruger, T. F. ^{[1
]}

机构：

[1] Univ Stellenbosch, Dept Obstet & Gynaecol, Western Cape, South Africa

来源：

SAJOG-SOUTH AFRICAN JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2012年 / 18卷 / 03期

关键词：

CONGENITAL UTERINE ANOMALIES; REPRODUCTIVE-PERFORMANCE; MULLERIAN ANOMALIES; WOMEN; DEFECTS; MYOMAS;

D O I：

10.7196/SAJOG.565

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The mean incidence of bicornuate uterus in Mullerian duct anomalies is approximately 25%, and it is associated with abortion, preterm delivery and term delivery rates of 36%, 23% and 40.6%, respectively. Open abdominal metroplasty has been shown to significantly improve pregnancy outcomes in patients with bicornuate uterus. However, minimally invasive laparoscopic metroplasty could be an alternative. A 24-year-old woman with a bicornuate uterus and poor reproductive outcomes underwent laparoscopic Strassman's metroplasty. The procedure was completed safely within 180 minutes with minimum blood loss. At follow-up hysteroscopy and laparoscopy 2 months later, minimal adhesions in the pelvis were noted and removed. There were no synechiae in the uterine cavity. It is concluded that laparoscopic metroplasty is a safe and relevant alternative to conventional abdominal metroplasty, with minimal adhesion formation. S Afr J OG 2012;18(3):85-87. DOI:10.7196/SAJOG.565

引用

页码：85 / 87

页数：3

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