A Bret-Sirbu-metroplasztika hatása a terhességek kimenetelére

Translated title of the contribution: The Bret-Sirbu metroplasty works on the outcome of pregnancies

Gábor Molnár, Péter Gocze, Gábor Kovács, István Szabó

Research output: Contribution to journalArticle

Abstract

The developmental anomalies of Müllerian duct develop between the 6th and 17th weeks of the pregnancy in 1-2.3% of women. The Bret-Sirbu metroplasty is a procedure for surgical solution of uterus subseptus, septus and bicornis. The purpose of their retrospective investigation is to test the effectiviy of Bret-Sirbu metroplasty. Between 01/01/1983 and 31/12/2002 the PTE ÁOK OEC Clinic of Obstetrics and Gynecology has compared the history of pregnancy of 88 women operated according to Bret-Sirbu metroplasty to 92 controls. 115 pregnancies before and 115 pregnancies after the metroplasty were observed. After the metroplasty was significantly reduced the number of spontaneous abortions (97 versus 18) and increased the number of mature and premature birth (10 versus 84) (p<0,001) compared to cases before the operation. 121 pregnancies were registered at controls where there were significantly more mature births (p<0,001), less premature births (p<0.001) and less spontaneous abortions (p<0.05) than women with septum resection. After the metroplasty the frequency of vaginal births (34 versus 69) were significantly lower (p<0.001) but the frequency of caesarean sections (28 versus 18) (p<0.05) and forceps interventious (21 versus 7) (p<0.01) were higher than in controls. There were no significant difference considering the distribution of infant birthweigh between operated women and controls. It was find that the presence of the septum does not influence the pregnancy, but on the other hand, damages the reproductive capacity of women. Their investigations confirme that Sirbu metroplasty can be sucessfully used as a surgical solution for uterus subseptus, septus and bicornis.

Translated title of the contributionThe Bret-Sirbu metroplasty works on the outcome of pregnancies
Original languageHungarian
Pages (from-to)55-61
Number of pages7
JournalMagyar Noorvosok Lapja
Volume70
Issue number1
Publication statusPublished - Feb 14 2007

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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