Laparoscopic metroplasty in bicornuate and didelphic uteri

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Laparoscopic metroplasty in bicornuate and didelphic uteri Saeed Alborzi, M.D, Nasrin Asadi, M.D, Jaleh Zolghadri, M.D, Soroosh Alborzi, M.D, Mehrnoosh Alborzi  Fertility and Sterility  Volume 92, Issue 1, Pages 352-355 (July 2009) DOI: 10.1016/j.fertnstert.2008.04.025 Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 1 (A) Micro bipolar coagulation of the serosa of didelphic uterus after release of congenital adhesion between bladder and rectum. (B) Interrupted suturing of the first layer of didelphic uterus. Serosa and endometrium were not included in the first layer of suturing. (C) Approximation of the second layer and serosa for didelphic uterus. All knots were embedded below serosa. (D) Second-look laparoscopy for didelphic uterus showed minimal adhesion and good healing. Fertility and Sterility 2009 92, 352-355DOI: (10.1016/j.fertnstert.2008.04.025) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 2 (A) Incision with scissor for opening of endometrial cavity in bicornuate uterus. (B) Interrupted suturing of the posterior wall of bicornuate uterus. The first surgical knot was kept tight with a needle holder so that the second knot could be done. (C) Approximation of the second layer and serosa for bicornuate uterus. (D) Sonohysterography of the bicornuate uterus after laparoscopic metroplasty showed minimal uterine subseptum. Fertility and Sterility 2009 92, 352-355DOI: (10.1016/j.fertnstert.2008.04.025) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions