Laparoscopic metroplasty in bicornuate and didelphic uteri.
OBJECTIVE
To determine the feasibility of laparoscopic metroplasty in the treatment of bicornuate and didelphic uteri.


METHODS
Case report.


METHODS
University and private hospitals.


METHODS
Four women with a diagnosis of double uterine cavity (two bicornuate and two didelphic uteri) with a history of two recurrent spontaneous abortions at less than 5 months of pregnancy.


METHODS
Laparoscopic metroplasty with diagnostic hysteroscopy was performed for the unification of the uterus. Second-look laparoscopy and hysteroscopy was performed about 3 months later.


METHODS
Evaluation of the uterine compliance to high intrauterine pressure and presence of adhesions in the pelvic and uterine cavities.


RESULTS
In all four patients, laparoscopic metroplasty resulted in a unified uterus with a good cavity and tolerance to high intrauterine pressure. Minimal pelvic adhesions were noted in the two patients at the second surgery.


CONCLUSIONS
This new technique of laparoscopic metroplasty is an acceptable alternative for abdominal metroplasty, with minimal adhesion formation.
Alborzi
Saeed
S
Division of Infertility and Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran. alborzis@sums.ac.ir
Asadi
Nasrin
N
Zolghadri
Jaleh
J
Alborzi
Soroosh
S
Alborzi
Mehrnoosh
M
D000026:Abortion, Habitual / Q000175:diagnosis / Q000209:etiology; D000022:Abortion, Spontaneous / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D015994:Incidence; D010535:Laparoscopy / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities; D011247:Pregnancy; D024162:Second-Look Surgery; D014591:Uterine Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*