[Abdominal metroplasty: 25 years experience]
1Semmelweis Egyetem, Altalános Orvostudományi Kar, I. Szülészeti és Nogyógyászati Klinika, Budapest. pz@noi1.sote.hu
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.