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synechia and hysteroscopi

Perrine Capmas, Audrey Voulgaropoulos, Guillaume Legendre, Anne-Gaelle Pourcelot, Hervé Fernandez
OBJECTIVE: Type 3 myomas are intramural within contact with the endometrium but lack any cavity deformation. There is no guideline for management of symptomatic type 3 myoma. The aim of this study was to evaluate the feasibility of symptomatic type 3 myoma hysteroscopic resection. METHOD: This retrospective study included symptomatic women (mainly pain, infertility or bleeding) who obtained an operative hysteroscopy for type 3 symptomatic myoma from June 2010 to December 2014 in the gynaecological unit of a teaching hospital...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Engin Korkmazer, Başar Tekin, Neşe Solak
OBJECTIVE: Hysteroscopic myomectomy is the gold standard method for treatment of submucous fibroids. Hysteroscopic myomectomy techniques for removal of submucous fibroids still have controversies. In this study we aimed to describe usefulness of ultrasound guidance in hysteroscopic myomectomy for a safe and effective removal of submucous G1 and G2 fibroids. STUDY DESIGN: This is a multicentre study. 64 symptomatic patients with submucous fibroid underwent ultrasound guided hysteroscopic myomectomy...
August 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Fernando Antonio Medrano-Uribe, María Magdalena Enríquez-Pérez, Enrique Reyes-Muñoz
INTRODUCTION: In Mexico, the information available about the prevalence of uterine anatomical anomalies as the direct and indirect cause of recurrent pregnancy loss (RPL) is limited. OBJECTIVE: To know the prevalence and types of uterine anatomical anomalies in Mexican women with RPL. METHODS: In a cross-sectional study, we included women attending a clinic for RPL from 2008 to 2013, with a history of three or more consecutive gestational losses, with the same couple and complete study protocol by factors...
March 2016: Gaceta Médica de México
P Capmas, A-G Pourcelot, E Giral, D Fedida, H Fernandez
INTRODUCTION: Hysteroscopy is the gold standard for evaluation of uterine cavity. It can be performed either as office setting or as day care procedure under general anaesthesia. Objective of this study is to assess feasibility and acceptability of office hysteroscopy without anaesthesia. MATERIALS AND METHODS: This retrospective observational study took place in the gynaecologic unit of a teaching hospital. Women who had had an office hysteroscopy from 2010 to 2013 were included...
May 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Luis Ramiro Ramírez-Sánchez, José Alanis-Fuentes, Liliana Morales-Domínguez
BACKGROUND: Uterine synechiae are defined as abnormal adhesions and fibrosis within the uterine cavity due to direct trauma or injury to the basal membrane of the endometrium. OBJECTIVE: To identify, by routine hysteroscopy, how many patients who were treated because of intrauterine pathology developed uterine synechiae within the first six months after treatment with monopolar resectoscope. MATERIAL AND METHOD: A descriptive, open, observational, retrospective and cross-sectional study was performed at Hysteroscopy Unit, Gynecology Service of General Hospital Manuel Gea Gonzalez, Mexico City...
June 2015: Ginecología y Obstetricia de México
Ádám Galamb, Boglárka Pethő, Dávid Fekete, Győző Petrányi, Attila Pajor
INTRODUCTION: One percent of couples trying to have children are affected by recurrent miscarriage. These pregnancy losses have different pathogenetic (genetic, endocrine, anatomic, immunologic, microbiologic, haematologic and andrologic) backgrounds, but recurrent miscarriage remains unexplained in more than half of the affected couples. AIM: To explore risk factors for recurrent pregnancy loss the authors studied the incidence of anatomic disorders of the uterine cavity occur in Hungarian women with recurrent miscarriage...
July 5, 2015: Orvosi Hetilap
Zahra Asgari, Leili Hafizi, Rayhaneh Hosseini, Atiyeh Javaheri, Hathis Rastad
BACKGROUND: Leiomyomata is the most frequent gynecological neoplasm. One of the major complications of myomectomy is intrauterine adhesion (synechiae). OBJECTIVE: To evaluate and compare the rate and severity of synechiae formation after myomectomy by laparotomy and laparoscopy. MATERIALS AND METHODS: In this non-randomized interventional trial, hysteroscopy was performed in all married fertile women who had undergone myomectomy (type 3-6 interamural and subserosal fibroids) via laparotomy and laparoscopy in Tehran's Arash Hospital from 2010 to 2013...
March 2015: Iranian Journal of Reproductive Medicine
Stephanie Huberlant, Herve Fernandez, Pierre Vieille, Mohamed Khrouf, Daniela Ulrich, Renaud deTayrac, Vincent Letouzey
OBJECTIVE: Intrauterine adhesions (IUAs) are the most common complication after hysteroscopy in patients of reproductive age. Intra-abdominal anti-adhesion gel reduces the incidence of adhesions, but effects on fertility after uterine surgery are not known. The objective of our work was to evaluate the effect of intrauterine anti-adhesion gel on spontaneous fertility after repeated intrauterine surgery with induced experimental synechiae in the rabbit model. MATERIALS AND METHODS: Twenty New Zealand White rabbits underwent a double uterine curettage 10 days apart and were randomized into two groups...
2015: PloS One
S Warembourg, S Huberlant, X Garric, S Leprince, R de Tayrac, V Letouzey
Intra-uterine adhesions are a major cause of secondary infertility. The prevalence of adhesions is probably underestimated due to the heterogeneity of the symptoms. An exhaustive literature search using search engines MEDLINE, Pubmed, Cochrane library and Web of Science was performed to make a focus on the origins, consequences and methods of prevention of intra-uterine adhesions. Intra-uterine adhesions are likely to occur after any endo-uterine surgery via dysregulated activation of coagulation chain linked to the inflammatory process...
April 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Ivan Mazzon, Alessandro Favilli, Stefano Horvath, Mario Grasso, Gian Carlo Di Renzo, Elena Laurenti, Vittorio Bini, Sandro Gerli
OBJECTIVE: To evaluate whether a correlation exists between the pain perceived during diagnostic anesthesia-free hysteroscopy and the characteristics of the cervical canal. STUDY DESIGN: Prospective observational pilot study of 255 women undergoing diagnostic hysteroscopy. Data analysis included characteristics of the patient and the cervical canal, and the pain experience during the procedure, assessed by visual analog score (VAS). A multiple logistic regression was then carried out in order to exclude confounding factors...
December 2014: European Journal of Obstetrics, Gynecology, and Reproductive Biology
O Garbin, L Schwartz
A new technology recently appeared for the treatment of endo-uterine pathologies: hysteroscopic morcellators. It seemed to us useful to review this new technology. The morcellator we mostly experiment is the Myosure®, in 14 patients, with a median age of 40.5 years (28-58). The time of procedure went from 5 to 75 min with a median time at 26 min. The median of the total fluid deficit was 300 mL (0-1500 mL). A conversion in traditional resectoscopy happened in 4 cases (29%). This results are not so good as in literature...
December 2014: Gynécologie, Obstétrique & Fertilité
Ivano Mazzon, Alessandro Favilli, Mario Grasso, Daniela Morricone, Gian Carlo Di Renzo, Sandro Gerli
Diffuse uterine leiomyomatosis (DUL) is a rare clinical entity with important reproductive consequences. To date, only four pregnancies have been reported after hysteroscopic myomectomy. Here we describe the case of a 28-year-old infertile woman with diffuse uterine leiomyomatosis, who presented infertility and metrorrhagia lasting for 2 years. A countless number of subserous, intramural and submucous myomas were ultrasonographically revealed. Diagnostic hysteroscopy described a uterine cavity completely subverted by the presence of myomas...
March 2015: Journal of Obstetrics and Gynaecology Research
Ivan Mazzon, Alessandro Favilli, Mario Grasso, Stefano Horvath, Vittorio Bini, Gian Carlo Di Renzo, Sandro Gerli
OBJECTIVE: To study which variables are able to influence women's experience of pain during diagnostic hysteroscopy. DESIGN: Multivariate analysis (phase II) after a randomized, controlled trial (phase I). SETTING: Endoscopic gynecologic center. PATIENT(S): In phase I, 392 patients were analyzed. Group A: 197 women with carbon dioxide (CO2); group B: 195 women with normal saline. In phase II, 392 patients were assigned to two different groups according to their pain experience as measured by a visual analogue scale (VAS): group VAS>3 (170 patients); group VAS≤3 (222 patients)...
November 2014: Fertility and Sterility
A Jamard, M Turck, A Chéret-Benoist, M Dreyfus, G Benoist
OBJECTIVES: Uterine compression sutures are highly successful conservative surgical techniques used to treat severe postpartum haemorrhage. These methods can induce subsequent uterine synechiae. To determine this risk of synechiae after conservative uterine compression sutures, which may induce further fertility problems. PATIENTS AND METHODS: We retrospectively reviewed the medical and pathological records of the patients who underwent uterine compression sutures for severe postpartum haemorrhage between January 2003 and March 2013 in a French University Hospital...
October 2014: Gynécologie, Obstétrique & Fertilité
R Tchounzou, M Ngono, B Moifo, R Enow Mbu
We evaluated the outcome of treatment of uterine synechiae (or adhesions, also known as Asherman syndrome) by cervical dilatation and sequential estrogen and progestogen administration for three months. This retrospective cohort study examined records of 86 women with infertility or menstrual disorders or both and treated from October 2004 to November 2011 for synechiae diagnosed by hysterosalpingography. The data analyzed included age, presenting complaint, and treatment outcome. During the study period, 86 women were seen for uterine synechiae but only 81 files could be included...
July 2014: Médecine et Santé Tropicales
Firoozeh Ahmadi, Fatemeh Zafarani, Hadieh Haghighi, Maryam Niknejadi, Ahmad Vosough Taqi Dizaj
Structural pathologies in the uterine cavity such as müllerian duct anomalies (MDAs) and intrauterine lesions (fibroids, polyps, synechiae) may have important roles in subinfertility, implantation failure and pregnancy outcome. Various imaging modalities such as hysterosalpingography (HSG), sonography, laparoscopy and hysteroscopy are used in the evaluation of MDAs and intrauterine lesions. Recently, three-dimensional ultrasound (3DUS) has been introduced as a non-invasive, outpatient diagnostic modality. With increased spatial awareness, it is superior to other techniques used for the same purpose...
January 2011: International Journal of Fertility & Sterility
Aline Rocha Guerin, Reginaldo Guedes Coelho Lopes, Daniella de Batista Depes, João Alfredo Martins
PURPOSE: To examine the aspect of the uterine cavity after hysteroscopic endometrial ablation, to determine the prevalence of synechiae after the procedure, and to analyze the importance of hysteroscopy during the postoperative period. METHODS: The results of the hysteroscopic exams of 153 patients who underwent outpatient hysteroscopy after endometrial ablation due to abnormal uterine bleeding of benign etiology during the period from January 2006 to July 2011 were retrospectively reviewed...
April 2014: Revista Brasileira de Ginecologia e Obstetrícia
Abimbola O Famuyide, Daniel M Breitkopf, Matthew R Hopkins, Shannon K Laughlin-Tommaso
STUDY OBJECTIVE: To assess the diagnostic findings and determine the frequency of malignancy in postmenopausal women evaluated by office hysteroscopy for a thickened endometrium without bleeding. DESIGN: Retrospective cohort (Canadian Task Force classification II-B). SETTING: Academic medical center in the Midwestern United States. PATIENTS: Over 3600 women underwent an office hysteroscopy between January 1, 2007, and October 20, 2011, for abnormal uterine bleeding or an abnormal ultrasound...
September 2014: Journal of Minimally Invasive Gynecology
J H Check, R Cohen
PURPOSE: To report the second case of amenorrhea related to endometrial compaction apoptosis syndrome. MATERIALS AND METHODS: A female with secondary amenorrhea was evaluated with sonography, hysteroscopy, serum estradiol and progesterone levels, serum luteinizing hormone (LH), follicle stimulating hormone (FSH), and endometrial biopsy. RESULTS: Initially she was found to be ovulatory. However she did not menstruate despite the development of adequate endometrial thickness and a normal secretory endometrial biopsy...
2013: Clinical and Experimental Obstetrics & Gynecology
R Pulcinella, L Giannone, E Candelori, E Giannone, F Patacchiola
AIM: The aim of the study was to evaluate the clinical usefulness of the selective removal of residual intrauterine trophoblastic tissue by using a hysteroscopic procedure, especially in the prevention of the Intra-Uterine Adhesion's Syndrome. METHODS: Seventy-six patients had an Asherman's Syndrome: 5 cases after laparotomic myomectomy, 1 after caesarean section, 2 after hysteroscopic myomectomy, 10 after VIP, 1 with a severe vaginal endometriosis, 1 after conisation, 4 after a post-partum hemorrhage due to coagulopathy or uterine atony, 20 cases after D&C because of PPH due to placental retention, 26 after repetitive D&Cs because of AUB due to post abortion chorial residues' retention, 6 cases after D&C for post menopausal AUB...
February 2014: Minerva Ginecologica
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