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  • Title: Laparoscopic metroplasty in bicornuate and didelphic uteri.
    Author: Alborzi S, Asadi N, Zolghadri J, Alborzi S, Alborzi M.
    Journal: Fertil Steril; 2009 Jul; 92(1):352-5. PubMed ID: 18675973.
    Abstract:
    OBJECTIVE: To determine the feasibility of laparoscopic metroplasty in the treatment of bicornuate and didelphic uteri. DESIGN: Case report. SETTING: University and private hospitals. PATIENT(S): 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. INTERVENTION(S): Laparoscopic metroplasty with diagnostic hysteroscopy was performed for the unification of the uterus. Second-look laparoscopy and hysteroscopy was performed about 3 months later. MAIN OUTCOME MEASURE(S): Evaluation of the uterine compliance to high intrauterine pressure and presence of adhesions in the pelvic and uterine cavities. RESULT(S): 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. CONCLUSION(S): This new technique of laparoscopic metroplasty is an acceptable alternative for abdominal metroplasty, with minimal adhesion formation.
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