Clinical effectiveness of Strassman operation in the treatment of bicornuate uterus

Abstract

Summary Objective: To evaluate the impact of conventional metroplasty on the reproductive outcome of symmetric uterine anomalies and to determine the complications of this procedure. Material and methods: A prospective clinical analysis of 13 consecutive women who underwent classical abdominal metroplasty according to Strassman technique in II Dept. Obstet&Gynecol in Lublin from April 2001 till January 2008. Results: The fetal survival rate increased from 0% before surgery to 80% after the operation. No intraoperative and postoperative complications were observed as well as no uterine rupture and other intrapartum complications were noticed. Conclusions: Conventional transabdominal metroplasty seems to be a safe and efficient procedure in women with symmetric uterine anomalies – class IV AFS. Even in the era of operative hysteroscopy, transabdominal metroplasty remains the only approach in cases of bicornuate uterus.