Pregnancy outcomes following Tompkins metroplasty.
Eighteen patients with poor reproductive histories and 2 patients with primary infertility underwent Tompkins metroplasty for a septate uterus. There were 19 pregnancies within 2 years of surgery, and 11 patients had at least 1 viable pregnancy, for an overall success rate of 55%. One of the infertile patients conceived and delivered. The average fecundability rate for the first 24 months was 0.078 (normal, 0.20). The cumulative pregnancy rate at 27 months was 94% by the life-table method. The group of patients (n = 14) with two or more losses and no other major risk factors for reproductive failure had higher fecundability and a better success rate (71%). The Tompkins metroplasty is a technically simple procedure with a success rate similar to that of the Jones procedure.
D000026:Abortion, Habitual / Q000601:surgery; D000022:Abortion, Spontaneous / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000601:surgery*; D008722:Methods; D011247:Pregnancy; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery