Uterine surgeries including myomectomy, metroplasty
and uterine septum resection are other potential causes of AS (2,3).
(2) Repair with this technique reduces the risk of uterine rupture by reconstructing the uterine wall using a muscle flap prepared by metroplasty
. (7) In a study of 64 women who underwent triple-flap resection, a clinical pregnancy rate of 74% and a live birth rate of 52% were reported.
"The technique of laparoscopic metroplasty
has been developed and successfully used to improve reproductive function in these women.
is the standard surgical procedure for correction of bicornuate uteri .
[5,6,7] ME Parsanezahed et al found that resection of cervical septum during Hysteroscopic metroplasty
of uterine septum makes the procedure safer, easier and less complicated than the procedure with preservation of the cervical septum.
Although myometrial defects are most often the result of prior Cesarean section, scar pregnancies have also been reported after other uterine interventions, including dilatation and curettage, myomectomy, hysteroscopy, and metroplasty
. (1,3,4,5) It is hypothesized that poor vascularity in the LUS impairs healing and contributes to the formation of small myometrial defects in which the trophoblast may implant.
* Received Best Innovative Surgery Prize for the video on 'Metroplasty
In Unicornuate Uterus With Versapoint' In Yuva Fogsi 2005.
Septae were diagnosed laparoscopically and treated with hysteroscopic metroplasty
. Leiomyomata were diagnosed laparoscopically and treated with either a hysteroscopic or laparoscopic myomectomy.
Absorption of irrigating solution during hysteroscopic metroplasty
Risk factors for uterine rupture include myomectomy, septoplasty, metroplasty
, trauma, congenital uterine anomalies (especially ectopic pregnancy in the rudimentary horn), inadequate treatment of endometriosis, placental abruption, and mid-forceps delivery.
(6) The benefit of traditional abdominal metroplasty
is not clear, (7) but some reports have shown significant improvement in pregnancy outcomes.
Unfortunately, there is no good treatment for most of these conditions, although metroplasty
and cerclage have been used with some success, he said.