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Reproductive performance after conventional metroplasty: an evaluation of 102 cases
1Department of Obstetrics and Gynecology, Hacettepe University, School of Medicine, Ankara, Turkey.
Objective:
To evaluate the influence of conventional metroplasty on reproductive performance of symmetric uterine anomalies and determine the complications of these procedures.
Design:
A retrospective clinical analysis of consequently operated 102 women.
Setting:
Institutional.
Patients And Participants:
One hundred two patients with bicornuate and septate uterus and a history of late recurrent abortion and/or preterm delivery were included in this study.
Interventions:
Jones, Strassman, and Tompkins procedures for metroplasty and McDonald operation for cervical cerclage.
Main Outcome Measure:
The fetal survival rate has increased from 3.7% before operation to 75.0% afterwards. In only two patients uterine rupture was observed.
Results:
Conventional metroplasty improves the fetal survival rate in women with symmetric uterine anomalies.
Conclusions:
Our results confirm the view that conventional metroplasty seems to be an operation of choice in women with symmetric uterine anomalies and a history of recurrent late abortion and preterm delivery. However, uterine rupture and postoperative infertility may be potential complications.