%0 Journal Article
%T Laparoscopic StrassmanĄ¯s metroplasty for bicornuate uterus ¨C is it relevant?
%A T Matsaseng
%A TF Kruger
%J South African Journal of Obstetrics and Gynaecology
%D 2012
%I 
%X The mean incidence of bicornuate uterus in M¨šllerian 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 StrassmanĄ¯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. S Afr J OG 2012;18(3):85-87. DOI:10.7196/SAJOG.565
%U http://www.ajol.info/index.php/sajog/article/view/82942