Abstract：
OBJECTIVE:To evaluate the efficacy and safety of hysteroscopic adhesiolysis in patients with intrauterine adhesions (IUAs). SETTING:Minia Maternity University Hospital, Egypt. DESIGN:Prospective cohort study. PATIENTS:This study included 61 patients presented with infertility (primary or secondary) or recurrent pregnancy losses caused by IUAs. INTERVENTION(S):The adhesions were divided by semi-rigid scissors introduced under direct vision through hysteroscopy. Three months later, second-look hysteroscopy was performed. PRIMARY OUTCOME PARAMETERS:Primary outcome parameters were reproductive parameters (pregnancy rate, duration of pregnancies, life births rate, time lag between the intervention and diagnosis of pregnancy). SECONDARY OUTCOME PARAMETERS:Secondary outcome parameters were the changes in post-operative menstrual pattern, number and duration of intervention and type of intra- and post-operative complications. RESULT(S):Pregnancy rate changed from 18 to 65.5 %, while live birth rate improved from 14.7 to 36 %. The mean time until the first conception was 10.2 months (range 2-60 months) after the operation. There was significant negative correlation between the degree of IUAs and the improvement in reproductive performance. Hysteroscopic adhesiolysis significantly improved menstrual pattern in 60.7 % of patients complaining of hypomenorrhea or amenorrhea. (p = 0.0017). The average operative time was 29 ± 10.2 (10-52) min and the hospital stay was 12.5 ± 2.1 (9-24) h. Uterine perforation occurred on 3 (4.9 %), and cervical laceration occurred in one case (1.6 %). CONCLUSION(S):Hysteroscopic adhesiolysis of IUAs is safe and effective in terms of reproductive outcome. The outcome is significantly affected by degree of intrauterine adhesions rather than the main complaint before the procedure.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Sanad AS,Aboulfotouh MEdoi
10.1007/s00404-016-4107-9subject
Has Abstractpub_date
2016-08-01 00:00:00pages
411-6issue
2eissn
0932-0067issn
1432-0711pii
10.1007/s00404-016-4107-9journal_volume
294pub_type
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,meta分析,评审
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/BF02417603
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journal_title：Archives of gynecology and obstetrics
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Archives of gynecology and obstetrics
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doi：10.1007/BF00931289
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pub_type： 杂志文章,meta分析
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00404-019-05396-2
更新日期：2020-01-01 00:00:00
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pub_type： 杂志文章,随机对照试验
doi：10.1007/s00404-012-2348-9
更新日期：2012-09-01 00:00:00
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pub_type： 临床试验,杂志文章
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pub_type： 杂志文章,meta分析
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更新日期：2020-04-01 00:00:00
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doi：10.1007/s00404-012-2609-7
更新日期：2013-04-01 00:00:00
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更新日期：2012-03-01 00:00:00
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更新日期：2009-11-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,评审
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更新日期：2013-10-01 00:00:00
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更新日期：2020-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2009-04-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,meta分析
doi：10.1007/s00404-017-4643-y
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVES:Total parenteral nutrition (TPN) presumably benefits cancer patients although reports have disputed the significance of this nutritional intervention. We sought to compare the postoperative outcomes of ovarian cancer patients treated with either TPN or conservative management. METHODS:We retrospectively eva...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2017-02-01 00:00:00
abstract：UNLABELLED:The aim of this study was to determine the frequency of, indications for and clinical epidemiological characteristics in patients having their first cesarean section (FCS) and then to compare the data with that found in patients with repeated cesarean section (RCS). PATIENTS AND METHODS:A cross-sectional st...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2002-11-01 00:00:00
