Journal of International Obstetrics and Gynecology ›› 2021, Vol. 48 ›› Issue (4): 415-419.doi: 10.12280/gjfckx.20201100

• Gynecological Disease & Related Research Review • Previous Articles     Next Articles

The Effect of Corrective Surgery for Congenital Uterine Anomalies on Female Reproductive Outcomes

WANG Lin, XU Jian()   

  1. Department of Obstetrics, Women′s Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China (WANG Lin); The Fourth Affiliated Hospital, School of Medicine, Zhejiang University, Yiwu 322000, Zhejiang Province, China (XU Jian)
  • Received:2020-11-21 Published:2021-08-15 Online:2021-09-01
  • Contact: XU Jian E-mail:xuj@zju.edu.cn

Abstract:

Congenital uterine abnormality is the most common abnormality in the female reproductive system, which easily leads to adverse pregnancy and obstetric outcomes, and has a serious impact on women′s physiology and psychology. In recent years, the application of minimally invasive surgery such as hysteroscopy and laparoscopy in the correction of uterine anomalies such as septate uterus, bicornuate uterus, unicornuate uterus and rudimentary horn uterus, T-shaped uterus, and Müllerian duct dysplasia is more and more widely, gradually replacing the traditional surgery, and become the main method for the treatment of uterine anomalies. Hysteroscopic septum resection, bicorporeal uterus hysteroplasty, laparoscopic rudimentary horn excision, hysteroscopic T-shaped hysteroplasty and even uterine transplantation are carried out to protect the reproductive function, improve the pregnancy rate and the adverse pregnancy outcome of patients with congenital uterine abnormalities. This paper reviews the latest research progress on the impact of minimally invasive corrective surgery for congenital uterine anomalies on the reproductive outcomes of female patients, and discusses whether corrective surgery for uterine anomalies can improve the fertility and pregnancy outcomes of patients with uterine abnormalities.

Key words: Uterus, Hysteroscopes, Congenital abnormalities, Laparoscopes, Pregnancy outcome