Diagnostic and therapeutic hysteroscopy for traumatic intrauterine adhesions

Sugimoto, Osamu

doi:10.1016/0002-9378(78)90116-3

Cited by 117 publications

(53 citation statements)

References 13 publications

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“…However, the high mean-age of patients in our series may have affected the results; therefore, further trials are necessary to confirm these results. The insertion of an IUD has been advocated by various authors as an effective and widely used method to prevent adhesion reformation [11,21]. However, it has also been shown that the use of an IUD offered no advantage over hormonal treatment alone [22].…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopic adhesiolysis for patients with Asherman's syndrome: menstrual and fertility outcomes

Yamamoto

Takeuchi

Izuchi

et al. 2013

Reprod Medicine & Biology

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Purpose Most patients with Asherman's syndrome present with infertility and menstrual problems. In this retrospective clinical study, we analyzed patients with Asherman's syndrome who underwent hysteroscopic adhesiolysis to examine their associated symptoms, disease etiologies, and fertility outcomes. Methods Twenty‐seven patients with Asherman's syndrome that were diagnosed using hysteroscopy were recruited. The chief complaints were infertility, hypomenorrhea, and amenorrhea. Each case of Asherman's syndrome was classified according to the American Fertility Society classification. Hysteroscopic adhesiolysis was performed in all cases and concomitant transabdominal ultrasonography was conducted in cases with extensive and dense adhesions. Results There were no complications associated with the hysteroscopic procedure. Normal menstrual cycles resumed in all cases. Of the 16 infertile patients, 9 conceived. Three patients achieved term deliveries and one patient is currently pregnant. None of the patients had obstetric complications. Two patients had spontaneous abortions, one had an ectopic pregnancy, one had an abortion at 16 weeks’ gestation due to cervical incompetence, and one had a molar pregnancy and required uterine artery embolization for uncontrolled hemorrhaging during a dilatation and curettage procedure. Conclusions Hysteroscopic adhesiolysis with transabdominal ultrasonography is a suitable treatment method for Asherman's syndrome. Subfertile patients with Asherman's syndrome undergoing adhesiolysis should be appropriately informed about the risk of associated life‐threatening complications and preterm delivery.

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Section: Discussionmentioning

confidence: 99%

Hysteroscopic adhesiolysis for patients with Asherman's syndrome: menstrual and fertility outcomes

Yamamoto

Takeuchi

Izuchi

et al. 2013

Reprod Medicine & Biology

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show abstract

“…The treatment of Asherman's syndrome improved dramatically with the emergence of hysteroscopy. A number of case series examined the use of different hysteroscopic methods (6,7) and combinations of hysteroscopic synechiolysis with laparoscopic guidance and control (8 -10). Methods described include the use of the hysteroscope and forceps for blunt dissection (6), sharp dissection with hysteroscopic scissors (8), a combination of the two (9), or the use of a knife electrode (7,10).…”

mentioning

confidence: 99%

“…A number of case series examined the use of different hysteroscopic methods (6,7) and combinations of hysteroscopic synechiolysis with laparoscopic guidance and control (8 -10). Methods described include the use of the hysteroscope and forceps for blunt dissection (6), sharp dissection with hysteroscopic scissors (8), a combination of the two (9), or the use of a knife electrode (7,10). Postoperative treatments were designed to maintain the endometrial cavity either mechanically, by inserting an intrauterine contraceptive device (6,8), or pharmacologically, by using high-dose estrogen therapy (6 -8, 10) with or without progestogen.…”

mentioning

confidence: 99%

Fluoroscopically guided synechiolysis for patients with Asherman’s syndrome: menstrual and fertility outcomes

Thomson

Abbott

Kingston

et al. 2007

Fertility and Sterility

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“…Previously Asherman's syndrome was treated by blind division of adhesions followed by oestrogen therapy and an IUCD. Hysteroscopic division of adhesions gives better results with less morbidity, in addition to providing an accurate diagnosis of the extent of adhesions [6,7].…”

Section: Discussionmentioning

confidence: 99%

“…4 cases with severe adhesions are still persisting with amenorrhoea. In a series by Sugimoto [6], of 192 women with adhesions, 181 were successfully treated. Menstruation was restored in 143, 79 became pregnant but only 45 delivered a viable infant and 8 had third stage placental problems.…”

Section: Discussionmentioning

confidence: 99%