Clinical effectiveness of Strassman operation in the treatment of bicornuate uterus

Ginekol Pol. 2009 Feb;80(2):88-92.

Abstract

Objective: To evaluate the impact of conventional metroplasty on the reproductive outcome of symmetric uterine anomalies and to determine the complications of this procedure.

Material and 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.

MeSH terms

  • Adult
  • Female
  • Humans
  • Hysteroscopy / methods*
  • Infant, Newborn
  • Poland
  • Pregnancy
  • Pregnancy Complications / etiology
  • Pregnancy Complications / surgery*
  • Pregnancy Outcome
  • Prognosis
  • Prospective Studies
  • Uterus / abnormalities*
  • Uterus / surgery*
  • Women's Health