Ankara Üniversitesi Tıp Fakültesi Mecmuası 0365-8104 1307-5608 Ankara University Obstetrics and Gynaecology Kadın Hastalıkları ve Doğum Metroplasti Metropilasty Gürgüç Ali ANKARA ÜNİVERSİTESİ, ANKARA TIP FAKÜLTESİ 09 30 1976 29 3 653 666 07 13 1976 09 08 1976 Copyright © 1947, Ankara Üniversitesi Tıp Fakültesi Mecmuası 1947 Ankara Üniversitesi Tıp Fakültesi Mecmuası

Son 5 yıl içerisinde kliniğimizde metroplasti uygulanan 11 vak'adan 4 tanesinde miada ulaşan gebelik vuku bulmuş ve bu hastalar sezaryen ile doğurtulmuştur. Uterus bikomus vak'aların da Strassmann, uterus subseptus ve septus vakalarında ise Jones, ve Tompkins operasyonu uygulanmıştır. GÜRGÜÇ — Sezaryende uterustaki metroplasti nedbelerinin zayıf ve dayanıksız görünümde olmalarlna dikkate alarak, vak'alarm doğuma terk edilmelerinin sakıncalı olacağı kanısındayız.

During the last five years eleven metroplastic operatiors have been performed In our clinic. Four of these cases had pregnancies reaching term and were delivered by cesarean section.In case of uterus bicornis Strassmann operation and in cases of uterus septus or subseptus Jones or Tompkins operations are preferred. Of our four cases with pregnancies reaching term, one was treated by Strassmann operation, two by Jones operation and one by Tompkins operation.During cesarean sections, the scar tissue seen on the uteruses due to metroplastic operations, seemed to be very thin and weak. For this reason we believe that ofter metroplastic operations, normal labor and delivery will carry very high risk for the patient and the baby.

 metroplasti jinekoloji sezaryen metropilasty gyne cesaren section Ankara Üniversitesi Tıp Fakültesi — Barber, H.RtK., Graber, E.A.: Surgical disease m pregnancy; S: 389, Saunders Co., London, 1974 2. — Caprano, V.J., Chuang, J.T., Randall CL.: Improved fetal salvage after metroplasty; Obstet. Gynec. 31: 97,1968 3 Carapelyan, Fl.: Metroplasty : Clint Obs, Gyn. 17: 5,1974 4 — Jones, H.W., Jones, G.E.: Double uterus as an etiological factor in repeated abortion Am. J. Obs. Gyn. 65: 325, 1963. 5 — Jones, H.Wheeless, C.R.: Salvage of the reproductive• potential of women with anomalous development of the Müllerian ducts; Am. J. Obs. 104: 348,1969. 6 — Sala, F., Tellini, P: The metroplastic operation after Strassmann; Am. J. Obs. Gyn. 84: 390, 1962. 7 — Semmens, J.P. : Abdominal contour in the third tremestr; Obs. Gyn. 25: 779,1965 8 — Strassmann, E. : Plastic unification of double uterus; Am. J.Obs. Gyn. 64: 25, 1952 9 — Strassmann, E.O. : Fetility and unification of double uterus; Fertil. Steril. 17: 165, 1965 10 — Thompson, J.P., Smith, R.A., Welch, A.S.: Reproductive ability after metroplasty; Obs. Gyn. 28: 363, 1966. uterus and twinning; Surg. Clin. North Am. 42: 1049, 1969.