Laparoscopic Unification Of A Bicornuate Uterus

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Laparoscopic Unification Of A Bicornuate Uterus

During development of the human body, the uterus consists of two halves which unify form a single uterus. Sometimes, the uterus may persist as two halves. This is called a bicornuate uterus. This is associated with an increased risk of miscarriage. Unification is a surgery whereby the two halves of the uterus are unified to create a single uterus with a single uterine cavity. This is done only for a woman with repeated miscarriages and NOT for a woman with infertility. We performed this surgery via laparoscopy whereby we incised the inner aspect (medial) of the two uteri till we entered each uterine cavity and sutured the two halves together with absorbable sutures. Repeat X-ray (hysterosalpingography) of the uterus or a hysteroscopy of the cases where we have done a unification have revealed normal uterine cavities.

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