Go back
Title: UNIFYING THE UTERI: METROPLASTY IN MULLERIAN ANOMALIES
e-poster Number: EP 294
Category: Endoscopy and Gynaecologic Surgery
Author Name: Dr. Sayali Ramdas Sawarkar
Institute: Grant Government Medical College and sir JJ and group of hospitals Mumbai
Co-Author Name:
Abstract :
ABSTRACT Background: Metroplasty is a reconstructive surgery to repair congenital anomalies of the uterus. Anomalous uteri are known to cause infertility and recurrent abortions due to defective implantation, restrictive foetal growth and malpresentations. AIM: To discuss our experiences and surgical techniques with various cases of metroplasty, in women with structural uterine anomalies with infertility or recurrent abortions at a tertiary care hospital in Mumbai. CASE DESCRIPTION: A descriptive study of case series of metroplasty conducted in a tertiary care hospital in women with bicornuate and didelphys uterus by opening the uterine cavities by incision on the medial aspect of the hemicolpos and approximating the myometrial edges and suturing them to create a single uterine cavity. MATERIALS AND METHODS: It is a retrospective and prospective analytical study conducted in cases of metroplasty done in Sir J.J. Group of Hospitals CONCLUSION: By unification of two smaller uterine cavities, metroplasty restores a normal anatomy of the uterine cavity as is required for positive implantation and good obstetric outcomes. CLINICAL SIGNIFICANCE: After metroplasty, chances of conception and probability of carrying conception to full term rises significantly.
