A randomized controlled study on an integrated approach to prevent and treat re-adhesion after transcervical resection of moderate-to-severe intrauterine adhesions

Pan, Lizhen; Wang, Ying; Chen, Xian

doi:10.6061/clinics/2021/e1987

Cited by 9 publications

(8 citation statements)

References 20 publications

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“…Using Citespace, 816 records were scienti cally processed, and correction(1), editorial material(26), letter (12), meeting abstract (20) and review(113) were removed, and 644 valid documents were obtained, and the detailed information is shown in Fig. 1.The time slicing area is set from 2006 to 2021 to deal with the literature from 2006 to 2021, and node type is checked one at a time, including author, institution, country, keyword.…”

Section: Data Reductionmentioning

confidence: 99%

“…IUA is a common intrauterine disease, referring to adhesion or even occlusion of uterine isthmus and cervical canal caused by various reasons (3)(4)(5). After the occurrence, it will cause serious harm to the reproductive function of patients[6] [7], and IUA patients may face serious obstetric complications [8], including placenta previa, placenta accreta and fetal growth restriction [9] [10] [11] [12]. In recent years, with the increasing number of intrauterine operations such as induced abortion and curettage, the incidence of intrauterine adhesion has also shown an increasing trend year by year [13] [14].…”

Section: Introductionmentioning

confidence: 99%

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Visual Analysis of Uterine Adhesion Research Based on citespace: Bibliometric Analysis from 2006 to 2021

Ding

Zuo

Zhou

et al. 2022

Preprint

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Background Intrauterine adhesionis caused by a variety of reasons, such as damage of the endometrial basal layer, adhesion or occlusion of the uterine cavity or cervix in different degrees.Seriously endangering women's physical and mental health. Objective The purpose of this paper is to analyze the research development of intrauterine adhesions in recent 15 years, explore the future development direction, and promote the development of this field. Methods With intrauterine adhesions and Ashman's syndrome as the theme, the related literatures from January 2006 to July 2021 in the Web of Science were searched, and the visual atlas was analyzed by CiteSpace software. Results A total of 644 literatures were included. The key words related to intrauterine adhesion mainly include adhesion, pregnancy, expression, intrauterine adhesions, women, adhesion molecule, diagnosis, activation, hysteroscopy and fertility,etc.Six clusters were obtained by keywords analysis, involving hysteroscopy, placenta, office hysteroscopy, uterus and laparoscopy. Co-occurrence of keywords shows that the research focus in recent years is on endometrial repair and regeneration. Conclusions Through the bibliometric analysis of WOS research on intrauterine adhesions in recent 15 years, the comprehensive analysis of countries, institutions, authors and keywords is obtained, which has a clear guiding significance for guiding the future development of intrauterine adhesions.

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Section: Data Reductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Visual Analysis of Uterine Adhesion Research Based on citespace: Bibliometric Analysis from 2006 to 2021

Ding

Zuo

Zhou

et al. 2022

Preprint

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“…[11,12] However, women with moderate to severe IUA have a high recurrence rate after TCRA, and their reproductive outcomes remain a concern. [7] Currently, few studies investigate the reproductive outcomes of women with moderate and severe IUA after TCRA, and heterogeneity of these results is high. [13] First, it is thought that there are some confounders in the studies that may affect the reproductive outcome, including the severity of IUA, the medical situation of the participants, the length of follow up, and other potential factors.…”

Section: Introductionmentioning

confidence: 99%

“…[1,5,6] Transcervical resection of adhesion (TCRA), a standard surgical approach for patients with IUA, is widely used for treating moderate and severe IUA patients. [7][8][9][10] TCRA is performed under hysteroscopy to separate and remove scar tissues and restore the structure of uterine cavity and protect the remaining endometrium. [11,12] However, women with moderate to severe IUA have a high recurrence rate after TCRA, and their reproductive outcomes remain a concern.…”

Section: Introductionmentioning

confidence: 99%

Reproductive outcomes of women with moderate to severe intrauterine adhesions after transcervical resection of adhesion: A systematic review and meta-analysis

Chen²,

et al. 2023

Medicine

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Background: Intrauterine adhesions (IUA) refers to the adhesion of the inner wall of the uterus, resulting in complete or partial occlusion of the uterine cavity, which causes a series of symptoms. Transcervical resection of adhesion (TCRA) is the standard surgical method for patients with IUA. However, the recurrence rate of women with moderate to severe IUA is high and it has raised a big concern about the reproductive outcomes. Methods: We conducted a scoping review by using 4 databases, including Google Scholar, PubMed, Scopus, Embase, and web of science, to retrieve relevant literature from September 1, 2001, to February 1, 2023, and to explore the reproductive outcomes in women with moderate to severe IUA after TCRA treatment. Following defined guidelines, data extraction was carried out by 2 researchers, and the findings were examined by 2 senior academics. The papers were evaluated by 2 reviewers using the inclusion and exclusion criteria. Using a form developed especially for this study, pertinent information was retrieved, including the first author, research design, study duration, age, intervention measurement, pregnancy rate, techniques of conception, and live birth rate. Two researchers conducted a quality assessment to determine any potential bias using the Cochrane technique and the Newcastle-Ottawa scale. RevMan 5.4.1 (The Cochrane Collaboration, London, United Kingdom) was used for data analysis, while I 2 was used to evaluate heterogeneity. Results: In total, this study included 2099 participants. After a detailed systematic review and meta-analyses, the results showed that pregnancy and live birth rates were increased significantly after TCRA, and the risk difference of the pregnancy rate was 1.75 [1.17, 2.62]. Besides, in 2 retrospective studies, the risk difference of live birth rate was 2.26, with a 95% confidence interval of 1.99 to 2.58. Moreover, the menstrual status of women also was improved, and the risk difference of hypermenorrhoea and amenorrhea were −0.28 [−0.37, −0.19] and −0.06 [0.26, 0.13], respectively. Conclusions: Taken together, TCRA is the useful strategy for the treatment of moderate to severe IUA to enhance the reproductive outcomes in women.

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“…IUA is a common intrauterine disease, referring to adhesion or even occlusion of uterine isthmus and cervical canal caused by various reasons ( 3 – 5 ). After the occurrence, it will cause serious harm to the reproductive function of patients ( 6 , 7 ), and IUA patients may face serious obstetric complications ( 8 ), including placenta previa, placenta accreta and fetal growth restriction ( 9 – 12 ). In recent years, with the increasing number of intrauterine operations such as induced abortion and curettage, the incidence of intrauterine adhesion has also shown an increasing trend year by year ( 13 , 14 ).…”

Section: Introductionmentioning

confidence: 99%

Visual Analysis of Uterine Adhesion Research Based on CiteSpace: Bibliometric Analysis From 2006 to 2021

Ding

Zuo

Zhou

et al. 2022

Front. Reprod. Health

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BackgroundIntrauterine adhesionis caused by a variety of reasons, such as damage of the endometrial basal layer, adhesion or occlusion of the uterine cavity or cervix in different degrees. Seriously endangering women's physical and mental health.ObjectiveThe purpose of this paper is to analyze the research development of intrauterine adhesions in recent 15 years, explore the future development direction, and promote the development of this field.MethodsWith intrauterine adhesions and Ashman's syndrome as the theme, the related literatures from January 2006 to July 2021 in the Web of Science were searched, and the visual atlas was analyzed by CiteSpace software.ResultsA total of 644 literatures were included. The key words related to intrauterine adhesion mainly include adhesion, pregnancy, expression, intrauterine adhesions, women, adhesion molecule, diagnosis, activation, hysteroscopy and fertility, etc. Six clusters were obtained by keywords analysis, involving hysteroscopy, placenta, office hysteroscopy, uterus and laparoscopy. Co-occurrence of keywords shows that the research focus in recent years is on endometrial repair and regeneration.ConclusionsThrough the bibliometric analysis of WOS research on intrauterine adhesions in recent 15 years, the comprehensive analysis of countries, institutions, authors and keywords is obtained, which has a clear guiding significance for guiding the future development of intrauterine adhesions.

show abstract

A randomized controlled study on an integrated approach to prevent and treat re-adhesion after transcervical resection of moderate-to-severe intrauterine adhesions

Abstract: Pan LZ, Wang Y, Chen X. A randomized controlled study on an integrated approach to prevent and treat re-adhesion after transcervical resection of moderate-to-severe intrauterine adhesions. Clinics (Sao Paulo).

Cited by 9 publications

References 20 publications

Visual Analysis of Uterine Adhesion Research Based on citespace: Bibliometric Analysis from 2006 to 2021

Visual Analysis of Uterine Adhesion Research Based on citespace: Bibliometric Analysis from 2006 to 2021

Reproductive outcomes of women with moderate to severe intrauterine adhesions after transcervical resection of adhesion: A systematic review and meta-analysis

Visual Analysis of Uterine Adhesion Research Based on CiteSpace: Bibliometric Analysis From 2006 to 2021

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