Hysteroscopic adhesiolysis: efficacy and safety

Sanad, Ahmad Sameer; Aboulfotouh, Mahmoud Elmorsi

doi:10.1007/s00404-016-4107-9

Cited by 16 publications

(14 citation statements)

References 15 publications

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“…An overview of the excluded full-text studies is shown in Supplemental Table 1. Five studies fulfilled all inclusion criteria and were included in the review [36][37][38][39][40].…”

Section: Selection Of Literaturementioning

confidence: 99%

“…One prospective and four retrospective cohort studies were included [36][37][38][39][40]. Characteristics of the included studies are summarized in Table 1.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…One study did not report post-operative treatment [37]. The ancillary post-operative treatment in the remaining four studies was different: an intrauterine device was inserted in two studies [36,39], a foley catheter in one study [38]. Hormone treatment was provided in four studies [36,[38][39][40].…”

Section: Description Of Included Studiesmentioning

confidence: 99%

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Reproductive outcomes in women with mild intrauterine adhesions; a systematic review and meta-analysis

Hooker

Mansvelder

Elbers

et al. 2021

The Journal of Maternal-Fetal & Neonatal Medicine

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Background: Moderate to severe intrauterine adhesions (IUAs) may greatly impact fertility, predisposing to pregnancy and obstetric complications. The impact of mild IUAs on reproductive performance remains unclear. A systematic review and meta-analysis was performed to examine the long-term reproductive outcomes in women with hysteroscopic identified and treated mild IUAs mild intrauterine adhesions (IUAs) Methods: An electronic literature search was conducted using MEDLINE and EMBASE from inception to June 2019. All prospective cohort, cross-sectional studies or randomized controlled trials Clinical trials in which reproductive outcomes of women with mild IUAs, were reported were included. Results: Five studies, reporting on reproductive outcomes of 229 women with hysteroscopic identified and treated mild IUAs, were included. The pregnancy rate was 62.3% (142 of 228; 95% CI: 0.55-0.72, I 2 25%, p ¼ .21) and in 86.6% (123 of 142) a live birth was encountered (95% CI: 0.71-0.97) with 83.1% (108 out of 130) term deliveries (95% CI: 0.53-0.95). A miscarriage was reported in 10% (13 of 130; 95% CI: 0.02-0.26). Due to the lack of a control group, reproductive outcomes were compared to a general population. Pregnancy and live birth rates were significantly lower in women with identified and treated mild IUAs, 90% versus 62.3% and respectively 99.5% versus 86.6%. The miscarriage rate was similar. Data on obstetric and neonatal outcomes are lacking. Conclusions: Women with hysteroscopic identified and treated mild IUAs seem to have lower pregnancy and live birth rate compared to the general population. Future studies consisting of a large cohort of women with hysteroscopic identified and treated IUAs with structural followup and a control group are needed to confirm our findings.

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“…An overview of the excluded full-text studies is shown in Supplemental Table 1. Five studies fulfilled all inclusion criteria and were included in the review [36][37][38][39][40].…”

Section: Selection Of Literaturementioning

confidence: 99%

“…One prospective and four retrospective cohort studies were included [36][37][38][39][40]. Characteristics of the included studies are summarized in Table 1.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Reproductive outcomes in women with mild intrauterine adhesions; a systematic review and meta-analysis

Hooker

Mansvelder

Elbers

et al. 2021

The Journal of Maternal-Fetal & Neonatal Medicine

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“…Quality assurance (QA) during AHS often necessitates teamwork that involves, not only medical 3–6 and nursing 7–9 expertise working within the sphere of gynecologic endoscopy in an institution, but also incorporates the patient 10–12 and her feedback as a beneficiary of this ongoing process, as well as continuously learning lessons from other institutions and different specialities of endoscopic surgery and interchanging national and international experience. 13–19 Such teamwork is the essence of regular and periodic surgical audit meetings ( Figure 1 ).…”

Section: Introductionmentioning

confidence: 99%

Advanced Hysteroscopic Surgery: Quality Assurance in Teaching Hospitals

Erian

McLaren²,

Erian

2017

JSLS

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Advanced hysteroscopic surgery (AHS) is a vitally important technique in the armamentarium for the management of many day-to-day clinical problems, such as menorrhagia, surgical excision of uterine myomata and septa in the management of female infertility, hysteroscopic excision of chronically retained products of conception (placenta accreta), and surgical removal of intramural ectopic pregnancy. In today's climate of accountability, it is necessary that gynecologists take a more active role in assuring the quality of their work. In this article, we discuss the quality assurance system from the point of view of the surgical audit meetings in some of the major teaching hospitals affiliated with the University of Queensland (Brisbane, Queensland, Australia).

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“…Высокий риск рецидива, особенно при тяжелой степени внутриматочных синехий, обусловливает необходимость повторных оперативных вмешательств [11]. Однако до настоящего времени нет единого мнения о прогностической роли повторной гистероскопии в отношении репродуктивных исходов в зависимости от времени ее проведения [9,11,12]. Кроме того, использование различных методов профилактики, включающих, в том числе, установку внутриматочной спирали (ВМС), проведение гормональной терапии, является предметом для дискуссий в гинекологических сообществах многих стран [2,9].…”

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Clinical, anamnestic data and treatment results in women with intrauterine adhesions

Khirieva¹,

Adamyan²

2017

Probl. reprod.

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Hysteroscopic adhesiolysis: efficacy and safety

Abstract: 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.

Cited by 16 publications

References 15 publications

Reproductive outcomes in women with mild intrauterine adhesions; a systematic review and meta-analysis

Reproductive outcomes in women with mild intrauterine adhesions; a systematic review and meta-analysis

Advanced Hysteroscopic Surgery: Quality Assurance in Teaching Hospitals

Clinical, anamnestic data and treatment results in women with intrauterine adhesions

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