Clinical effectiveness of Strassman operation in the treatment of bicornuate uterus.
OBJECTIVE
To evaluate the impact of conventional metroplasty on the reproductive outcome of symmetric uterine anomalies and to determine the complications of this procedure.


METHODS
A prospective clinical analysis of 13 consecutive women who underwent classical abdominal metroplasty according to Strassman technique in II Dept Obstet & Gynecol in Lublin from April 2001 till January 2008.


RESULTS
The fetal survival rate increased from 0% before surgery to 80% after the operation. No intraoperative and postoperative complications were observed as well as no uterine rupture and other intrapartum complications were noticed.


CONCLUSIONS
Conventional transabdominal metroplasty seems to be a safe and efficient procedure in women with symmetric uterine anomalies--class IV AFS. Even in the era of operative hysteroscopy, transabdominal metroplasty remains the only approach in cases of bicornuate uterus.
Rechberger
Tomasz
T
II Katedra i Klinika Ginekologii Uniwersytetu Medycznego w Lublinie. rechbergt@yahoo.com
Monist
Marta
M
Bartuzi
Aleksandra
A