[Surgical management of uterus bilocularis (the first 40 transabdominal metroplasty procedures)]

Forty patients were diagnosed by hysterosalpingography and/or ultrasound as having septate uterus which were assumed to be responsible for their recurrent abortions (35 cases) or infertility (5 cases). All patients, who have not had children yet, had abdominal metroplasty: 27 became pregnant; of their 37 pregnancies 28 continued to term (all but two with delivery by cesarean section) and 9 aborted including 1 hydatidiform mole and 4 blighted ovum, which were due probably not to uterinal but genetic and/or andrologic causes.