Laparoscopic Strassman's metroplasty for bicornuate uterus - is it relevant?
CITATION: Matsaseng, T. & Kruger, T. F. 2012. Laparoscopic Strassman's metroplasty for bicornuate uterus - is it relevant? South African Journal of Obstetrics and Gynaecology, 18(3):85-87, doi:10.7196/SAJOG.565.
The original publication is available at http://www.sajog.org.za
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.