Laparoscopic metroplasty: reconstructive surgery for unicornuate uterus with noncommunicating, functional uterine horn

Yen, Chih-Feng; Pai, Angel Hsin-Yu; Lo, Andry; Chueh, Ho-Yen; Huang, Hui‐Yu; Lin, Shu‐Ling

doi:10.1016/j.fertnstert.2020.05.042

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…In this issue, Yen et al present a video that takes a page out of Strassman, demonstrating the preoperative evaluation and laparoscopic reconstruction of a unicornuate uterus and remnant horn (5). They suggest that reuniting the uterine horns to enlarge the uterine cavity as well as increasing the muscle mass may enhance future fertility.…”

mentioning

confidence: 99%

Reunification of the unicornuate uterus and the remnant horn– proceed with caution!

Bhagavath

Ludwin

Lindheim

2020

Fertility and Sterility

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mentioning

confidence: 99%

Reunification of the unicornuate uterus and the remnant horn– proceed with caution!

Bhagavath

Ludwin

Lindheim

2020

Fertility and Sterility

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“…Intensive monitoring throughout pregnancy thus remains essential given that current interventions such as metroplasty of unicornuate uterus prior to pregnancy, or prophylactic cervical cerclage prior to or during pregnancy, are of uncertain benefit in enhancing reproductive outcomes. 13,16 Moreover, in our study, women with such unicornuate anomaly were shown to be more likely to have utilized assisted reproductive technologies such as IVF. Indeed, one study evaluated clinical outcomes following IVF-intracytoplasmic sperm injection (ICSI) treatment in unicornuate uteri and demonstrated that these patients had lower clinical pregnancies and live birth rates relative to controls.…”

Section: Discussionmentioning

confidence: 52%

“…12 Current management strategies depend on the subclassification of the unicornuate uterus and include a hemi-hysterectomy or reconstructive laparotomic or laparoscopic metroplasty, with the goal of providing symptomatic relief and improving gynecological and reproductive outcomes. 13 Given the limited knowledge from published literature pertaining to fertility, pregnancy, and maternal and neonatal outcomes, the present study aims to use a population database to determine the association of unicornuate uterus with reproductive and neonatal outcomes, and to provide guidance on appropriate surveillance strategies to prevent and/or decrease the risk of associated maternal, fetal and neonatal adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

Reproductive and neonatal outcomes in women with unicornuate uterus: a population-based study

Badeghiesh¹,

Vilos²,

Baghlaf³

et al. 2021

OGIJ

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Objective: To investigate reproductive and neonatal outcomes in women with unicornuate uterus. Study design: Data from the Health Care Cost and Utilization Project-Nationwide Inpatient Sample database were extracted from 2010 through 2014 to create a delivery cohort using ICD-9 codes. Code 752.33 was used to identify cases with unicornuate uterus and reproductive outcomes were compared to pregnancies without unicornuate uterus. A multivariate logistic regression model was used to adjust for statistically significant variables (P-value<0.05). Results: Among 3,850,226 deliveries during the study period, 802 women had unicornuate uterus. Patient with unicornuate uterus were more likely to be older (P<0.001), have thyroid disease (P<0.001), previous Caesarean section (P<0.001), and to have had in-vitro fertilization (IVF) (P<0.001). The risk of gestational diabetes, pregnancy induced hypertension, gestational hypertension and preeclampsia were significantly greater in the unicornuate uterus group relative to controls, after controlling for baseline risk factors; aOR 1.32 [95% CI 1.03–1.71], aOR 1.46 [95% CI 1.16–1.85], aOR 1.16 [95% CI 1.22-2.28] and aOR 1.70 [95% CI 1.24-2.32], respectively. Also, the rates of preterm delivery, preterm premature rupture of membranes and caesarean section were higher in the unicornuate uterus group compared to controls after controlling for confounding factors, aOR 3.83 (95% CI 3.19–4.6), aOR 5.11 (95% CI 3.73–7.14) and aOR 11.38 (95% CI 9.16–14.14) respectively. At birth, 11.1% and 2.6% of neonates were small for gestational age in the unicornuate uterus and the control groups, respectively, aOR 4.90, (95% CI 3.87-6.21). Conclusion: Women with unicornuate uterus are at higher risk for pregnancy complications, preterm delivery and having small for gestation age neonates. Women with known unicornuate uterus may benefit from increased surveillance to prevent and/or decrease maternal and neonate morbidity and mortality.

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MRI presentations of Müllerian duct anomalies in association with unilateral renal agenesis

Zhang¹,

Zhang²,

Li³

et al. 2023

Clinical Radiology

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Laparoscopic metroplasty: reconstructive surgery for unicornuate uterus with noncommunicating, functional uterine horn

Cited by 4 publications

References 7 publications

Reunification of the unicornuate uterus and the remnant horn– proceed with caution!

Reunification of the unicornuate uterus and the remnant horn– proceed with caution!

Reproductive and neonatal outcomes in women with unicornuate uterus: a population-based study

MRI presentations of Müllerian duct anomalies in association with unilateral renal agenesis

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