The influence of the location and extent of intrauterine adhesions on recurrence after hysteroscopic adhesiolysis
Abstract
To investigate the recurrence potential of intrauterine adhesions after hysteroscopic adhesiolysis. Retrospective observational study. Tertiary university hospital. This study included 115 women who had intrauterine adhesions completely separated during hysteroscopic surgery. The treated adhesions were classified into four groups according to their location and extent: Group 1, central type (i.e. intervening space between the adhesions and both lateral uterine sidewalls) at the middle area of uterine cavity; Group 2, central type at uterine cornua; Group 3, cervico-isthmic; and Group 4, extensive if the adhesions were dense with occlusion of part of the uterine cavity other than cervico-isthmic region. Postoperative outpatient hysteroscopic adhesiolysis was scheduled 10-14 days after the initial hysteroscopic surgery and procedures were repeated every 10-14 days until no reformed adhesions were detected. Multivariate logistic regression models were built to examine initial adhesion characteristics and other factors associated with adhesion reformation and need for subsequent outpatient adhesiolysis. Categorical data were compared using Fisher's exact test. Number of postoperative outpatient hysteroscopic adhesiolysis procedures...Continue Reading
References
Intrauterine adhesions: hysteroscopic diagnosis, classification, treatment, and reproductive outcome
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