[Abdominal metroplasty: 25 years experience].

Abstract:

INTRODUCTION:The congenital or acquired anomalies of uterus could be the causes of complications in obstetrics. PATIENTS AND METHODS:157 patients were diagnosed by hysterosalpingography and/or ultrasound as having subseptate uterus which were assumed to be responsible for their recurrent abortions (124 cases) or infertility (33 cases), and who have not had children yet. RESULTS:During the last 25 years 157 abdominal metroplasties without the excision of the septum was performed: 99 became pregnant at least once, of their 142 pregnancies 117 continued to the at least 37th gestational weeks (all but five with delivery by cesarean section). Altogether 122 healthy newborn infants were born. CONCLUSIONS:Conventional abdominal metroplasty seems to be an operation which clearly improves fetal survival rate in women with both symmetric uterine malformations and a history of habitual abortions. Subsequent pregnancies are not associated with any increased risk of complications. Abdominal metroplasty also seems to be a procedure which improves reproductive performance in women with either subseptate or bicornuate uterus and otherwise unexplained infertility.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Papp Z

subject

Has Abstract

pub_date

2005-07-10 00:00:00

pages

1471-6

issue

28

eissn

0030-6002

issn

1788-6120

journal_volume

146

pub_type

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