Results of Centralized Asherman Surgery, 2003–2013  

Oleh:

Hanstede, Miriam M. F. ; Goedemans, Laurien ; Emanuel, Mark Hans

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 104 no. 06 (Dec. 2015), page 1561–1568.
Topik: Intrauterine Adhesions; Asherman Syndrome; Hysteroscopic Adhesiolysis; Adhesions; Hysteroscopy; Amenorrhea
Fulltext: F02 v104 n6 p1561 kelik2016.pdf (555.8KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective: To study the success rate of hysteroscopic adhesiolysis and the spontaneous recurrence rate of intrauterine adhesions (IUAs) in patients with Asherman syndrome. Design: Cohort study. Setting: University-affiliated hospitals. Patient(s): A total of 638 women with Asherman syndrome were included, all diagnosed using hysteroscopy, and operated on between 2003 and 2013. Intervention(s): Hysteroscopic adhesiolysis. Main Outcome Measure(s): Hysteroscopic adhesiolysis was classified as successful if a normalization of menstrual blood flow occurred, along with a restored, healthy, cavity anatomy, free of adhesions, with hysteroscopic visualization of =1 tubal ostium. Recurrences of adhesions were diagnosed using hysteroscopy after an initial successful procedure. Result(s): A first-trimester procedure preceded Asherman syndrome in 371 women (58.2%) and caused adhesions of grades 1–2A. In 243 (38.1%) women, a postpartum procedure caused IUAs of grades 3–5. The procedure was successful in 606 women (95%), and restoration of menstrual blood flow occurred in 97.8%; IUAs spontaneously recurred in 174 (27.3%) of these cases. High grades of adhesions were predictive of a higher chance of spontaneous recurrence of adhesions. Conclusion(s): In 95% of women with Asherman syndrome, a healthy uterine cavity was restored with hysteroscopic adhesiolysis, in 1–3 attempts, with a 28.7% recurrence rate of spontaneous IUAs.

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