Abstract
References
- 1) Fritsch H. Ein Fall von vlligem Schwaund der Gebormutterhohle nach Auskratzung. Zentralbl Gynaekol 1894; 18:1337-1342.
- 2) Asherman JG. Amenorrhoea traumatic. J Obstet Gynecol Br Emp 1948; 55:23.
- 3) Asherman JG. Traumatic inta-uterine adhesions. J Obstet Gynecol Br Emp 1950; 57:892.
- 4) N.C Louros, J.M. Danezis and G.Pontifix, Use of intrauterine devices in the treatment of intrauterine adhesions. Fertile Sterile 19(1968), pp. 509-528. View Record in Scopus/Cited By in Scopus(6).
- 5) W.Z. Polishuk, S.O. Anteby and Weinstein, Puerperal endometritis and intrauterine adhesions. Int Surg 60 (1975), pp.418-420. View Recordin Scopus/Cited By in Scopus (8).
- 6) AR Zondek and S.Rozin, Filling defect in the hysterogram simulating intrauterine synechea which disappear after denervation. Am J Obstte Gynecol 88(1964), pp.123-127.
- 7) Friedler, S.,Margalioth, E>J., Kafka, I. and Yaffe, H. (1993). Incidence of postabortion intrauterine adhesions evaluated by hysteroscopy- a prospective study. Hum. Reprod., 8, 442-444
- 8) J.G Schenker and E.J Margalioth, Intrauterine adhesions; an update appraisal. Fertile Steril 37 (1982), pp. 593-610. View record in Scopus/ Cited By in Scopus (65).
- 9 ) L. Forsmann, Post traumatic intrauterine synaechae and pregnancy. Obstet Gynecol 26 (1965), pp.710-718.
- 10) Sugimoto O. Diagnostic and therapeutic hysteroscopy for traumatic intra-uterine adhesions. Am J Obstet Gynecol 1978; 131:539-547.
- 11) Rochet Y, Dargent D, Bremond A, Priou G, Rodrigoz RC. Le denevir obstetrical des femmes operes de synechies uterines. J Gynecol Obstet Biol Reprod 1979;8: 723-726.
- 12) Butram UC, Turati G. Uterine synechiae: variation in severity and some conditions which may be conductive to severe adhesions. Int J Fertile 1977; 22: 98-103.
- 13) Parent B, Barbot J, Dubuisson JB. Synechies uterines. Encycl Med Chir Gynecol 1981; 140A(Suppl. 1988): 10.
- 14) Hamou J, Salat-Baroux J, Siegler AM. Diagnosis and treatment of intrauterine adhesions by microhysterescopy. Fertile Steril 1983;39: 321-326
- 15) March CM, Israel R. Gestational outcome following hysterescopic lysis of adhesions. Fertile Sterile 1981; 36:455-459.
- 16) Valle RF, Sciarra JJ. Intrauterine adhesions: hysterescopic diagnosis, classification, treatment and reproductive outcome. Am J Obstet Gynecol 1988; 158-1459.
- 17) Siegler AM, Valle RF. Therapeutic hysterescopic procedures. Fertile Steril 1988; 50:685-701.
- 18) March CM, Israel R. Hysteroscopic management of intrauterine adhesions. Am J Obstet Gynecol 1978; 130:653-657.
Abstract
Objective: To
assess achievement of hysteroscopic treatment for Asherman’s Syndrome(AS), also
called ‘intrauterine adhesions(IUAs) or Intrauterine synechiae’.
Method: Retrospectively,27
patients with AS were enrolled in our
study at ankara liv hospital between 2017-2019 . These patients were evaluated
with hysteroscopically then they had adhesiolysis at the same session.
Monopolar knife was used for adesiolysis and the operation was gone on until
adequate cavity enlargement was achieved. Intrauterine device (IUD) was placed
in the new occurred cavity and combined hormonal therapy(high dose estrogen and
progesteron) was given for two months. American Fertility Society
classification was used for scoring of IUAs.
After IUD was taken out, they were called and their menstrual pattern and fertility
status were learned. If their symptoms were recurred they were hysteroscopically
evaluated again.
Results: 27
patients were hysteroscopically diagnosed as AS . 15of them had reproductive
problems and other 12 patients had only
menstrual abnormality. 13 patients had pregnancy related curettage, 4 patients
had dilatation and curratage(D&C) for their menstrual problems. After hysteroscopic treatment, 6 of 12 patients
with only menstrual abnormality had normal menstual pattern, 2 of them did not have normal period but a little bit
better(from amenorrhoea to hypomenorrhoea). 8 of 15 infertile patients had
positive pregnancy test(live born:6,
spontaneous abortion:2). And also all these pregnant womens were
seconder infertile patients.
Conclusions: Hysteroscopy is the most useful technique for diagnosis and treatment for
Asherman’s Syndrome. And also, hysteroscopic procedure has positive effect on
pregnancy rate and menstrual regularity
References
- 1) Fritsch H. Ein Fall von vlligem Schwaund der Gebormutterhohle nach Auskratzung. Zentralbl Gynaekol 1894; 18:1337-1342.
- 2) Asherman JG. Amenorrhoea traumatic. J Obstet Gynecol Br Emp 1948; 55:23.
- 3) Asherman JG. Traumatic inta-uterine adhesions. J Obstet Gynecol Br Emp 1950; 57:892.
- 4) N.C Louros, J.M. Danezis and G.Pontifix, Use of intrauterine devices in the treatment of intrauterine adhesions. Fertile Sterile 19(1968), pp. 509-528. View Record in Scopus/Cited By in Scopus(6).
- 5) W.Z. Polishuk, S.O. Anteby and Weinstein, Puerperal endometritis and intrauterine adhesions. Int Surg 60 (1975), pp.418-420. View Recordin Scopus/Cited By in Scopus (8).
- 6) AR Zondek and S.Rozin, Filling defect in the hysterogram simulating intrauterine synechea which disappear after denervation. Am J Obstte Gynecol 88(1964), pp.123-127.
- 7) Friedler, S.,Margalioth, E>J., Kafka, I. and Yaffe, H. (1993). Incidence of postabortion intrauterine adhesions evaluated by hysteroscopy- a prospective study. Hum. Reprod., 8, 442-444
- 8) J.G Schenker and E.J Margalioth, Intrauterine adhesions; an update appraisal. Fertile Steril 37 (1982), pp. 593-610. View record in Scopus/ Cited By in Scopus (65).
- 9 ) L. Forsmann, Post traumatic intrauterine synaechae and pregnancy. Obstet Gynecol 26 (1965), pp.710-718.
- 10) Sugimoto O. Diagnostic and therapeutic hysteroscopy for traumatic intra-uterine adhesions. Am J Obstet Gynecol 1978; 131:539-547.
- 11) Rochet Y, Dargent D, Bremond A, Priou G, Rodrigoz RC. Le denevir obstetrical des femmes operes de synechies uterines. J Gynecol Obstet Biol Reprod 1979;8: 723-726.
- 12) Butram UC, Turati G. Uterine synechiae: variation in severity and some conditions which may be conductive to severe adhesions. Int J Fertile 1977; 22: 98-103.
- 13) Parent B, Barbot J, Dubuisson JB. Synechies uterines. Encycl Med Chir Gynecol 1981; 140A(Suppl. 1988): 10.
- 14) Hamou J, Salat-Baroux J, Siegler AM. Diagnosis and treatment of intrauterine adhesions by microhysterescopy. Fertile Steril 1983;39: 321-326
- 15) March CM, Israel R. Gestational outcome following hysterescopic lysis of adhesions. Fertile Sterile 1981; 36:455-459.
- 16) Valle RF, Sciarra JJ. Intrauterine adhesions: hysterescopic diagnosis, classification, treatment and reproductive outcome. Am J Obstet Gynecol 1988; 158-1459.
- 17) Siegler AM, Valle RF. Therapeutic hysterescopic procedures. Fertile Steril 1988; 50:685-701.
- 18) March CM, Israel R. Hysteroscopic management of intrauterine adhesions. Am J Obstet Gynecol 1978; 130:653-657.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Surgical Science Research Articles |
| Authors | |
| Publication Date | June 30, 2019 |
| Acceptance Date | June 29, 2019 |
| Published in Issue | Year 2019Volume: 41 Issue: 2 |