Reproductive outcome following abdominal metroplasty

• Published in: International journal of gynecology and obstetrics Vol. 49; no. 2; pp. 157 - 160
• Main Authors: Khalil, A.M., Azar, G.B., Hannoun, A.B., Sawaya, J.T., Abu-Musa, A.A., Karam, K.S.
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01.05.1995; Elsevier Science
• Subjects: Abdominal metroplasty; Adult; Biological and medical sciences; Female; Fetal Death - etiology; Fetal Death - prevention & control; Follow-Up Studies; Humans; Infant, Newborn; Infertility; Infertility, Female - surgery; Medical sciences; Metroplasty; Postoperative Complications - etiology; Pregnancy; Pregnancy Outcome; Recurrent abortion; Retrospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the genital tract and mammary gland; Uterine unification procedure; Uterus - abnormalities; Uterus - surgery; Metroplasty; Abdominal metroplasty; Uterine unification procedure; Recurrent abortion; Infertility; Pregnancy; Human; Plasty; Postoperative; Prognosis; Uterus; Surgery; Uterine diseases; Abdominal route; Female; Female genital diseases
• ISSN: 0020-7292; 1879-3479
• DOI: 10.1016/0020-7292(95)02370-R

Objective: To evaluate pregnancy outcome following uterine unification procedures in patients with uterine anomalies. Methods: A retrospective survey included all abdominal metroplasty procedures performed on 43 patients at the American University of Beirut Medical Center between January 1, 1974 and December 31, 1991. Age at metroplasty, type of anomaly and surgical procedures, as well as preoperative and postoperative reproductive performance were all recorded. Results: Forty (93%) out of 43 patients who underwent metroplasty had postoperative live births compared with five (12%) prior to surgery. The fetal wastage rate dropped from 93% pre- to 16% postoperatively. All seven patients with a history of primary infertility conceived and had live births. Conclusion: Our data suggest a remarkable improvement following abdominal metroplasty in patients with both typical and uncharacteristic preoperative reproductive performance.