You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is The most important indication for surgical repair of a bicornuate uterus is: and explain in detail?
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.