How is a metroplasty performed?

3.2 Hysteroscopic metroplasty is usually done with the patient under general or spinal anaesthesia. After cervical dilation, a hysteroscope is inserted into the uterus through the cervix. The uterine cavity is distended using an appropriate fluid; fluid control must be carefully monitored to avoid fluid overload.

Can you have surgery on a bicornuate uterus?

Surgery, called a Strassman metroplasty, can sometimes be used to correct a bicornuate uterus in women with a history of miscarriage. In one analysis , 88 percent of those who had a Strassman metroplasty achieved pregnancies that ended with a successful birth.

How long is metroplasty surgery?

It previously has been determined that compared with the open, abdominal metroplasty performed before the advent of minimally invasive surgical techniques, hysteroscopic metroplasty is a simple, safe, and relatively quick procedure-ranging from 20 to 60 minutes-for achieving normal uterine architecture in women with …

Is metroplasty surgery safe?

Hysteroscopic metroplasty for septate uterus seems to be a simple and relatively safe procedure, but several complications can occur either during the procedure or in subsequent pregnancy and childbirth.

Is Metroplasty a major surgery?

Metroplasty (also called Strassman metroplasty, uteroplasty or hysteroplasty) is a reconstructive surgery used to repair congenital anomalies of the uterus, including septate uterus and bicornuate uterus….

Specialty gynaecology

How do you fix a Bicornuate uterus?

In women who are diagnosed with a septate or bicornuate uterus, surgical correction of the uterus (metroplasty) is the recommended treatment. If the surgeon is not absolutely confident of the diagnosis prior to surgery, then it is advised that a laparoscopy should be performed as the first step to confirm.

Is bicornuate uterus high risk?

If you have a bicornuate uterus and become pregnant, your condition could be considered a high-risk pregnancy. This means the pregnancy would be monitored more often with increased check-ups on the health and progress of the baby for the best pregnancy outcome.

What is the treatment for bicornuate uterus?

Surgery can be used to correct a bicornuate uterus, although the majority of women do not need surgery to correct it. Surgery can be performed in those who have a history of miscarriage. The surgery performed to correct bicornuate uterus is called a Strassman metroplasty, which is generally performed laparoscopically.

Is hysteroscopy major surgery?

Hysteroscopy is considered minor surgery and usually does not require an overnight stay in the hospital. However, in certain circumstances, such as if your doctor is concerned about your reaction to anesthesia, an overnight stay may be required.

How long is recovery from uterine septum surgery?

Recovery from Septum Surgery Depending on the type of surgery, you should be able to return to work within a day or two following surgery and can expect a full recovery after about 2-4 weeks. You may experience some abdominal pain after uterine surgery, and vaginal pain after vaginal surgery.

How rare is a bicornuate uterus?

This heart-shaped uterus abnormality is not very common. About 1 in 200 women are estimated to have a bicornuate uterus. Most of these women don’t realize they have the condition until they get pregnant.

Which is the best hysteroscopy for bicornuate uterus?

Hysteroscopy using the Bettochi vaginoscopy technique and a 3.5 mm rigid through flow hysteroscope (Karl Storz Gmbh & Co. KG) showed a uniform, spacious uterine cavity with a median muscular ridge less than 1 cm in size, resembling an arcuate uterus, for which no treatment was felt necessary (Fig. 4 ). Endometrium and tubal ostia were normal.

What is the pregnancy outcome of a bicornuate uterus?

The pregnancy outcome of patients with untreated bicornuate uterus is poor, with reported term delivery rates of up to 62.5%, with early miscarriages and preterm deliveries being quite common [ 3 ]. Conventional transabdominal metroplasty has been shown to significantly improve the pregnancy outcome in patients with bicornuate uterus [ 4 ].

How is the septum divided in hysteroscopic metroplasty?

Hysteroscopic metroplasty – resection of an intrauterine septum using Collins knife electrode. The septum is divided by cutting towards the fundus, maintaining the symmetry of the uterine cavity throughout the procedure. The fallopian tubes and the uterus are of müllerian origin.

How is a laparoscopic hysteroscopy and laparoscopy performed?

A laparoscopic metroplasty was performed by Strassman’s method. Second-look hysteroscopy and laparoscopy, which was performed 7 months later, revealed a single uniform cavity with a median muscular ridge, which resembled an arcuate uterus.