The most important indication for surgical repair of a bicornuate uterus is:
Ans. is d, i.e. Habitual abortionRef: Munrokers Operative Obstetrics 10th/ed, pl92-193; Jeffcoate 7th/ed, p204; Williams Gynae 1st/ed, p418Management: Bicornuate uterus requires surgical treatment only when it causes habitual abortions.Q"When a bicornuate or septate uterus has caused not less than 3 miscarriages and no pregnancy has resided in a viable child, surgery may be indicated." - Ref: Jeffcoate 7th/ed, p204"Surgical reconstruction of the bicornuate uterus has been advocated in women with multiple spontaneous abortions and in whom no other causative factors are identified." - Ref: William Gynae 1st/ed, p418Surgery done is: Unification surgery where an incision is made over the uterus and the 2 horns are sutured together to form a single cavity.After such a surgery: If woman conceives she should be taken up for elective LSCS at 38 weeks of gestation.Q These days hysteroscopic metroplasty is being done.
Infertility
Dysmenorrhea
Menorrhagia
Habitual abortion
Malformation of the Female Generative Organs