Abstract
<h3>Study Objective</h3> Video presentation showing laparoscopic metroplasty. <h3>Design</h3> Case presentation with showing procedural techniques in detail. <h3>Setting</h3> Tertiary academic teaching hospital. <h3>Patients or Participants</h3> 29-yo G3P0 with history of a 16 and an 18 weeks pregnancy losses leading to evaluation and diagnosis of bicornuate uterus with no other identifiable cause of recurrent second trimester loss. Her past medical history is significant for polycystic ovarian syndrome, otherwise healthy with no surgical history. US showed equal cavities in size and there is a small indentation about 2 cm at the top of the uterus. <h3>Interventions</h3> Hysteroscopy, followed by laparoscopic metroplasty. <h3>Measurements and Main Results</h3> Uncomplicated procedure with 3 months follow-up hysteroscopy showing normal cavity with no evidence of polyp, both ostia visualized, and secretory endometrium appreciated with no adhesions seen. <h3>Conclusion</h3> Surgical correction of bicornuate uterus is only recommended in patients with a history of poor pregnancy outcome after other potential causes have been ruled out. It is crucial to resect only the inter cavity segment to preserve normal size uterine cavity. Multi-layer myometrial closure is recommended.
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