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Fig. 2 | BMC Pregnancy and Childbirth

Fig. 2

From: Metroplasty increases the take-home baby rate by reducing pregnancy loss without changing the chance of conception in women with septate uterus: a retrospective, single-center, observational study

Fig. 2

Procedures for abdominal metroplasty (ABM). Representative operative findings of ABM are shown. Our procedure entailed the modified Tompkins’ method, followed by Strassman’s method. (A) Occlusion of blood flow to the uterine body was achieved using tourniquets and clipping of the ovarian vessels (B)(C) Removal of the uterine septum using wedge resection from outside the uterine fundus to transform a uterus into a bicornuate uterus (D) Opening of both cavities of the bicornuate uterus (E) Incision of the remaining septum in the longitudinal direction (left to right) to open the cavities of the two horns (F) Suturing of the myometrial layer in the anterior-posterior direction (G) Completion of myometrial suturing, and releasing the tourniquet and unclipping the ovarian vessels (H) Septum tissues excised during the ABM. The thin septum was incised along the coronal plane using an electrocautery electrode

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BMC Pregnancy and Childbirth

ISSN: 1471-2393

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