AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)

Surgery, Aagl Elevating Gynecologic

doi:10.1186/s10397-017-1007-3

Cited by 103 publications

(31 citation statements)

References 99 publications

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“…From another point of view, the European Society of Hysteroscopy (ESH) and European Society of Gynecological Endoscopy (ESGE) [ 26 ] approved the model design by Wamsteker at the Hysteroscopy Training Center [ 27 ]. Unfortunately, both these schemes have failed because of their complexity and difficulty.…”

Section: Introduction Our Current Knowledge About the Asherman Symentioning

confidence: 99%

Mini-Review of the New Therapeutic Possibilities in Asherman Syndrome—Where Are We after One Hundred and Twenty-Six Years?

et al. 2020

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Asherman syndrome is a multifaceted condition describing the partial or complete removal of the uterine cavity and/or cervical canal. It is a highly debatable topic because of its pronounced influence on both reproductive outcomes and gynaecologic symptoms. The latest reports demonstrated that trauma to the endometrium is the main cause of intrauterine adhesion formation. Left untreated, such adhesions gradually lead to a range of repercussions ranging from mild to severe. Considering the lack of non-invasive approaches, the advent of hysteroscopy has revolutionized the entire field, being otherwise considered the most efficient tool offering new directions and amplifying the chances of treating the Asherman syndrome.

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Section: Introduction Our Current Knowledge About the Asherman Symentioning

confidence: 99%

Mini-Review of the New Therapeutic Possibilities in Asherman Syndrome—Where Are We after One Hundred and Twenty-Six Years?

et al. 2020

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“…A recent meta-analysis revealed that the use of cross-linked hyaluronic acid gel after hysteroscopic operations effectively reduced IUAs 24 ; now, application of a cross-linked hyaluronic acid after operation is recommended to reduce the development of IUAs. 25 …”

Section: Discussionmentioning

confidence: 99%

A New Thermo-Responsive Hyaluronic Acid Sol-Gel to Prevent Intrauterine Adhesions after Hysteroscopic Surgery: A Randomized, Non-Inferiority Trial

Lee

Kim

et al. 2020

Yonsei Med J

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Purpose: To investigate the efficacy and safety of a newly developed thermo-responsive sol-gel, ABT13107, for reducing the formation of intrauterine adhesions (IUAs) after hysteroscopic surgery. Materials and Methods: In this multicenter, prospective, randomized trial (Canadian Task Force classification I), 192 women scheduled to undergo a hysteroscopic surgery at one of the eight university hospitals in South Korea were randomized into the ABT13107 group or the comparator (Hyalobarrier ®) group in a 1:1 ratio. During hysteroscopic surgery, ABT13107 or Hyalobarrier ® was injected to sufficiently cover the entire intrauterine cavity. Results: The patients returned to their respective sites for safety assessments at postoperative weeks 1 and 4 and for efficacy assessments at postoperative week 4. The post-surgery incidence of IUAs was 23.4% in the ABT13107 group and 25.8% in the comparator group; this difference met the criteria for ABT13107 to be considered as not inferior to the comparator. No differences were found in the extent of adhesions, types of adhesions, or the cumulative American Fertility Society score between the two treatment groups. Most adverse events were mild in severity, and no serious adverse events occurred. Conclusion: ABT13107, a new anti-adhesive barrier containing hyaluronic acid, was not inferior to the highly viscous hyaluronic acid anti-adhesive barrier, Hyalurobarrier ® in IUA formation after hysteroscopic surgery (Clinical trial registration No. NCT 04007211).

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“…Numerous evidence suggested that the conception rate, recurrence rate were boosted in women with severe IUA than in mild type [ 5 , 8 ]. Therefore, an accurate evaluation of the IUA severity is one critical factor for management [ 10 ]. A number of evaluation systems have been proposed for IUA [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, an accurate evaluation of the IUA severity is one critical factor for management [ 10 ]. A number of evaluation systems have been proposed for IUA [ 10 ]. Currently, there are at least 8 different evaluation systems of IUA [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Predictive value of live birth rate based on different intrauterine adhesion evaluation systems following TCRA

Cao

Pan

Zhang

et al. 2021

Reprod Biol Endocrinol

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Objective The aim of this study was to assess the predictive value of five different intrauterine adhesion (IUA) evaluation systems for live birth rate following transcervical resection of adhesion (TCRA). Method This retrospective study included 128 women with IUA who desired for spontaneous conception after TCRA. All the patients were retrospectively scored by the American Fertility Society (AFS) classification, European Society of Gynecological Endoscopy (ESGE) classification, March’s classification (March), Nasr classification (Nasr) and Chinese IUA diagnosis classification criteria (Chinese). The predictive value of these evaluation systems was determined by receiver operating characteristic (ROC) curves and area under a ROC curve (AUC). Results The correlation coefficients of AFS, ESGE, March, Nasr and Chinese classification and the live birth rate were 0.313, 0.313, 0.288, 0.380, and 0.336, respectively. Among women with hypomenorrhea and amenorrhea, as well as women with no infertility, the severities determined by all five evaluation systems were correlated with live birth rate (P < 0.001). All five scoring systems were efficient to predict live birth rate. Among them, Nasr classification showed the highest AUC (0.748) with the best predictive value. Multivariate logistic regression analyses showed that Nasr classification had the highest OR (OR, 6.523; 95% CI, 2.612, 18.263). And, Nasr’s classification system also showed highest sensitivity (81.8%) and negative predictive value (96.7%) when divide the system into mild IUA vs. moderate and severe IUA. Conclusion AFS, ESGE, March, Nasr and Chinese classification were demonstrated to be capable of predicting live birth following TCRA although the predictive capacities might be limited, and Nasr classification showed the highest predictive value of live birth.

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AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)

Cited by 103 publications

References 99 publications

Mini-Review of the New Therapeutic Possibilities in Asherman Syndrome—Where Are We after One Hundred and Twenty-Six Years?

Mini-Review of the New Therapeutic Possibilities in Asherman Syndrome—Where Are We after One Hundred and Twenty-Six Years?

A New Thermo-Responsive Hyaluronic Acid Sol-Gel to Prevent Intrauterine Adhesions after Hysteroscopic Surgery: A Randomized, Non-Inferiority Trial

Predictive value of live birth rate based on different intrauterine adhesion evaluation systems following TCRA

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