Entrar/Registro  
HOME SPANISH
 
Ginecología y Obstetricia de México
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Ginecología y Obstetricia de México >Year 2015, Issue 06


Ramírez-Sánchez LR, Alanis-Fuentes J, Morales-Domínguez L
Intrauterine synechiae after use of monopolar resectoscope
Ginecol Obstet Mex 2015; 83 (06)

Language: Español
References: 16
Page: 340-349
PDF: 446.33 Kb.


Full text




ABSTRACT

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. From January 1, 2008 to December 31, 2011, we took, from the record books of the operating rooms, the file number of those patients who were treated with monopolar resectoscopy, and subsequently underwent routine hysteroscopy within the first six months.
Results: 69 records were included in the study. The main diagnoses were: endometrial polyp in 48% (n=33), submucosal myoma in 45% (n=31); 48% (n=33) polypectomy and 45% (n=31) myomectomy. Within the first six months after the main procedure, patients underwent a routine hysteroscopy, which revealed the development of intrauterine synechiae in 5.8% (n=4) of the patients. Of the patients who underwent myomectomy, 5.8% (n=4) developed uterine synechiae; while those patients who underwent polypectomy, synechiaes were not found. Minimal synechiaes were found in 4.3% (n=3) of patients, moderate synechiaes were found in 1.4% (n=1) of patients, and severe synechiaes were found in none patient.
Conclusion: Uterine synechiaes were found in 5.8% of patients with intrauterine pathology and treated with monopolar resectoscopy. Minimal to moderate synechia occur more commonly after myomectomy.


Key words: uterine synechiae, monopolar resectoscopy, hysteroscopy, endometrial ablation, myomectomy, polypectomy.


REFERENCIAS

  1. Salma, Umme; Xu, Dabao; et col. Diagnosis and treatment of intrauterine adhesions. World Journal of Medical Sciences 2011;6:46-53.

  2. Robinson J, Swedarsky L, et al. Postoperative adhesiolysis therapy for intrauterine adhesions (Asherman´s Syndrome). Fertility and Sterility 2008;90:409-414.

  3. Fritsch, H. Ein Fall von volligen schwund der Gebaumutterhohle nach Auskratzung. Zentralbl Gynaekol 1894; 18: 1337 – 1342.

  4. Panayoditis, Costas; Weyers, Steven; et col. Intrauterine Adhesions (IUA): has there seen progress in understanding and treatment over the last 20 years?. Gynecol Surg 2009; Vol. 6: pag. 197 – 211.

  5. Yu, Dan; Wong, YatMay; et col. Asherman Syndrome – One century later. Fertility and Sterility. April 2008; Vol. 89, No. 4: pag. 759 – 779.

  6. Asherman, J.G. Traumatic intrauterine adhesions. Br. Journal Obstet Gynaecol, 1950; 57: pag. 892 – 896.

  7. Deans, Rebeca; Abbott, Jason. Review of intrauterine adhesions. The Journal of Minimally Invasive Gynecology. Septiembre/October 2010; Vol. 17, No. 5: pag. 555 – 569.

  8. Di Spiezo Sardo, Attilio; Spinelli, Marialuigia; et col. Efficacy of a Polyethylene oxide – sodium carboxymethylcellulose gel in prevention of intrauterine adhesions after hysteroscopic surgery. The Journal of Minimally Invasive Gynecology, July/August 2011; Vol. 18, No. 4: pag. 462 – 469.

  9. Schenker JG, Margalioth EJ. Intrauterine adhesions: an updated apraisal. Fertility and Sterility 1982; 37: pag. 593 – 610.

  10. Taskin, O; Sadik, L; et col. Role of endometrial suppression on the frequency of intrauterine adhesions after resectoscopic surgery. The Journal of Minimally Invasive Gynecology 2000; 7: pag. 351 – 354.

  11. Valle, R.F.; Sciarra, J.J. Intrauterine adhesions: hysteroscopic diagnosis, classification, treatment and reproductive outcome. American Journal of Obstetrics and Gynecology 1988; 158: pag. 1459 – 1470.

  12. American Association of Gynecologic Laparoscopists. AAGL Practice Report: Practice guidelines for management of intrauterine synechiae. The Journal of Minimally Invasive Gynecology. January/February, 2010; Vol. 17, No. 1: pag. 1 – 7.

  13. American Fertility Society. Classification of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988; 49: pag. 944 – 955.

  14. Touboul, Cyril; Fernández, Hervé; et col. Uterine Synechiae after bipolar hyteroscopic resection of submucosal myomas in patients with infertility; Fertility and Sterility 2008: pag. 1 – 4.

  15. Yang, J. H.; Chen, M. J.; Wu, M. Y.; et col. Office hysteroscopic early lysis of intrauterine adhesions after transcervical resection of multiple apposing submucous myomas. Fertility and Sterility 2008; Vol. 89, No. 5: pag. 1254 – 1259.

  16. Roy, K. K.; Singla, S.; Baruah, J.; et col. Reproductive outcome following hysteroscopic myomectomy in patients with infertility and recurrent abortions. Archives of Gynecology and Obstetrics 2010; Vol. 282, No. 5: pag. 553 – 560.






>Journals >Ginecología y Obstetricia de México >Year 2015, Issue 06
 

· Journal Index 
· Links 






       
Copyright 2019