Simplified therapy for Asherman's syndrome

Fertility and Sterility
P F McComb, B L Wagner

Abstract

To evaluate a technique that converts a blind hysteroscopic procedure to a "septum" division. Open noncomparative clinical study. Tertiary care center. Six women with Asherman's syndrome; five with complete and one with incomplete obliteration of the uterine cavity. The patients underwent recreation of the uterine cavity by the hysteroscopic-laparoscopic technique described to establish the correct dissection plane. The ability to reestablish the uterine cavity; postoperative resumption of menses and fertility. In all patients, the cavity of the uterus was restored; menses resumed in all women who were previously amenorrheic; and 5 women conceived, of whom four had live births and one a missed abortion. At hysteroscopy, two women incurred perforations and in another hemorrhage occurred. This technique appears to be effective and safe for the reconstruction of a functional endometrial cavity in women with Asherman's syndrome.

Citations

Jul 27, 2007·Archives of Gynecology and Obstetrics·Jai Bhagwan SharmaSuneeta Mittal
Jun 11, 1999·Obstetrics and Gynecology·J D Broome, T G Vancaillie
Nov 4, 2006·Clinical Obstetrics and Gynecology·Luigi FedeleGiada Frontino
May 15, 2007·Current Opinion in Obstetrics & Gynecology·Pinar H Kodaman, Aydin Arici
Jan 1, 2014·Reproductive Biology and Endocrinology : RB&E·Alessandro ConfortiAdam Magos
Sep 26, 2014·BioMed Research International·Umme SalmaDabao Xu
May 27, 2006·Journal of Women's Health·Michael ZingerMichael A Thomas
Feb 5, 2010·Journal of Minimally Invasive Gynecology·UNKNOWN AAGL Advancing Minimally Invasive Gynecology Worldwide
Jun 10, 2020·Updates in Surgery·Elena Puente GonzaloAntonio Simone Laganà

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