The role of imaging in the investigation of Asherman's syndrome

Tan, I-Ferne; Robertson, Meiri

doi:10.1002/j.2205-0140.2011.tb00118.x

Cited by 11 publications

(20 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The addition of three‐dimensional (3D) imaging to the SHG protocol provides better results and is more accurate than conventional two‐dimensional (2D) imaging, to the degree that this technique enables grading of the adhesions (Figs ). In addition, the coronal plane of the uterus is better observed with 3D SHG and the 3D volumes can be saved for later study, thus decreasing the duration of the examination and reducing discomfort for the patient . Knopman and Copperman (2008) stated that 3D ultrasound provides more accurate visualisation of the adhesions and extent of cavity destruction, compared with 2D ultrasound …”

Section: Diagnosis By Shgmentioning

confidence: 99%

“…Uterine synechiae, described as the presence of intrauterine adhesions (IUAs) composed of fibrotic tissue, is an acquired endometrial pathologic condition that can be either partial (minor filmy synechiae with no reproductive consequences) or complete (severe cohesive adhesions leading to menstrual dysfunction and infertility) . The following terms are also used to refer to the condition: IUAs, uterine atresia, traumatic uterine atrophy, endometrial sclerosis and Asherman's syndrome …”

Section: Introductionmentioning

confidence: 99%

“…Uterine synechiae are caused by trauma to the basal layer of the endometrium, generally following curettage . However, any uterine surgery (myomectomy, Caesarean section or repair of Müllerian anomalies) may result in synechiae .…”

Section: Introductionmentioning

confidence: 99%

“…The condition is divided into three grades according to The American Fertility Society classification: (i) mild (adhesions involving one‐third of the uterine cavity); (ii) moderate (adhesions involving one‐third to two‐thirds of the uterine cavity); and (iii) severe (adhesions involving two‐thirds or more of the uterine cavity) …”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4] The following terms are also used to refer to the condition: IUAs, uterine atresia, traumatic uterine atrophy, endometrial sclerosis and Asherman's syndrome. 5 Uterine synechiae are caused by trauma to the basal layer of the endometrium, generally following curettage. [1][2][3]5,6 However, any uterine surgery (myomectomy, Caesarean section or repair of Müllerian anomalies) may result in synechiae.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Role of 3D sonohysterography in the investigation of uterine synechiae/asherman's syndrome: Pictorial assay

Ahmadi

Javam

2013

J Med Imag Rad Onc

View full text Add to dashboard Cite

Several imaging methods have been applied for evaluation of suspected uterine synechiae; however, sonohysterography is yet recognised as a valid and accurate modality. Performing three-dimensional (3D) imaging along with sonohysterography enables evaluation of the uterus in the coronal plane to detect and grade the adhesions that characterise this condition. Thus, 3D sonohysterography is a minimally invasive and cost-effective tool for investigating suspected synechiae and is particularly useful when the transvaginal sonography findings are normal.

show abstract

Section: Diagnosis By Shgmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Role of 3D sonohysterography in the investigation of uterine synechiae/asherman's syndrome: Pictorial assay

Ahmadi

Javam

2013

J Med Imag Rad Onc

View full text Add to dashboard Cite

show abstract

MRI findings of complications related to previous uterine scars

Alamo

Vial

Denys

et al. 2018

European Journal of Radiology Open

View full text Add to dashboard Cite

Although the World Health Organization suggests 10–15% as the adequate cesarean delivery rate to assure optimal prognosis for mother and children, cesarean rates have continuously increased worldwide over the last three decades, even in primiparous women. Moreover, uterine scars after myomectomies, complications of obstetrical interventions and more recently, after fetal surgery, are often observed. This review article describes the most commonly seen complications related to prior uterine scars and discusses their imaging findings, with emphasis on the increasing role of Magnetic Resonance Imaging for diagnosis.

show abstract

A novel technique for moderate to severe intrauterine adhesions: A historical cohort study

et al. 2022

View full text Add to dashboard Cite

To evaluate the feasibility and efficiency of our novel technique, ultrasound guided hysteroscopic catheter dilation (US-HCD), for the treatment of moderate to severe intrauterine adhesion (IUA). A total of 126 patients diagnosed with IUA and met the enrollment criteria were admitted in this historical cohort study from June 1, 2016 to December 31, 2018. All patients were divided into 2 groups according to the surgical techniques used. Group A (n = 68) were treated with traditional hysteroscopic adhesiolysis with scissors (THA) and Group B (n = 58) were treated with US-HCD. Their data for the next 2 years following the initial surgery were analyzed. Safety and feasibility (operation time, surgical complications and the third-look hysteroscopic surgery rate), and post-operation efficacy (reduction of American Fertility Society [AFS] scores, pregnancy and live birth rates) were evaluated between groups. Between the groups, there was no statistically significant differences in basic preoperative information and AFS scores (P > .05). While there were significant differences in the operation time of the initial surgery (P < .05) and reduction of AFS scores (P < .05). No surgical complications were recorded and only 3 patients (5.2%) received a third-look hysteroscopy in Group B, while there were 6 cases of complications and 13 cases (19.1%) of third-look hysteroscopy in Group A, indicating significant differences between Groups (P < .05). Both groups exhibited comparable pregnancy rate, live birth rate and obstetric complications (P > .05). Our new technique is a safe, feasible and effective procedure for moderate to severe IUA patients, which can be mastered more quickly and easily by surgeons and applied in areas with less affluent economy and without hysteroscopic scissors, thus worthy of further study.

show abstract

The role of imaging in the investigation of Asherman's syndrome

Cited by 11 publications

References 18 publications

Role of 3D sonohysterography in the investigation of uterine synechiae/asherman's syndrome: Pictorial assay

Role of 3D sonohysterography in the investigation of uterine synechiae/asherman's syndrome: Pictorial assay

MRI findings of complications related to previous uterine scars

A novel technique for moderate to severe intrauterine adhesions: A historical cohort study

Contact Info

Product

Resources

About