Avtor/Urednik		Ribič-Pucelj, M; Tomaževič, T
Naslov		Transvaginosonographic detection of uterine malformations ad its impact on metroplasty
Tip		članek
Vir		In: Kruger T, Gomel V, van der Wat J, editors. 7th annual meeting of the international society for gynecologic endoscopy; 1998 Mar 15-18; Sun City, South Africa. Bologna: Monduzzi editore,
Leto izdaje		1998
Obseg		str. 137-41
Jezik		eng
Abstrakt		At the Reproductive Unit, Department of Obstetrics and Gynecology Ljubljana, 30 abdominal metroplasties per year were on average performed until 1993. Since then, the total number of surgical corrections of the malformed uterus have been constantly increasing and reached 140 in 1996. Consequently, the number of abdominal metroplasties has decreased and the number of hysteroscopic (HSC) metroplasties has increased. The main reason for such an increase were 1 ) the introduction of minimally invasive HSC metroplasty in septate and arcuate uterus, and 2) the introduction of transvaginal sonography (TVS) with a 98.5% sensibility and 93.5% specificity in the detection of congenital uterine malformations (CUlM), and 3) the results of our three studies. In the first study we found the prevalence of CUM to be 24% in patients with I spontaneous abortion, 46% in. patients with 2 spontaneous abortions, and even 60% in those with 3 spontaneous abortions. The second study revealed that in the patients with idiopathic preterm delivery the prevalence of CUM was 32.7%, in those with preterm delivery and IUGR it was 32.0%, in those with term delivery and IUGR it was 25.7%, and in patients with normal obstetric history it was 8.5%. The patients with CUM are at a 5-times higher risk of preterm delivery and/or IUGR. Surgical treatment improves the pregnancy outcome significantly. The preliminary results of the ongoing study on hysteroscopic metroplasty indicate that this technique is comparable to abdominal metroplasty, which results in the 89.5% term pregnancy rate.
Deskriptorji		UTERUS SURGERY, ENDOSCOPIC HYSTEROSCOPY PREGNANCY ABORTION, HABITUAL LABOR, PREMATURE