Case reports

Laparoscopic Strassman’s metroplasty for bicornuate uterus – is it relevant?

T Matsaseng, T F Kruger

Abstract


The mean incidence of bicornuate uterus in Müllerian 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.

Authors' affiliations

T Matsaseng, Department of Obstetrics and Gynaecology, Stellenbosch University, Tygerberg, Western Cape

T F Kruger, Department of Obstetrics and Gynaecology, Stellenbosch University, Tygerberg, Western Cape

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Keywords

laparoscopy; metroplasty; Strassman’s metroplasty; bicornuate uterus; Müllerian anomalies; adhesion formation

Cite this article

South African Journal of Obstetrics and Gynaecology 2012;18(3):85-87. DOI:10.7196/sajog.565

Article History

Date submitted: 2012-06-06
Date published: 2012-09-06

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