Abstract
Objective: To evaluate the impact of abdominal metroplasty for symmetric uterine anomalies on reproductive performance. Method: A retrospective analysis of 24 patients who conceived following metroplasty for symmetric congenital anomalies during a 5-year period. Results: In patients with poor obstetric histories before surgery, the overall fetal survival rate increased from 2.5%. before treatment to 73.3% after treatment and 90.5% of women gave birth to a surviving infant. The remaining three patients suffering from infertility delivered a full-term infant after metroplasty. Antenatal complications occurred in 56.7% of the pregnancies. Conclusion: Abdominal metroplasty clearly improves fetal survival particularly in women suffering from a history of poor obstetric outcome associated with symmetric malformations.
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