[Uterine synechias treated exclusively hysteroscopically - about 127 cases]
Maghreb Medical. 2006; 26 (279): 106-110
in French
| IMEMR
| ID: emr-78920
ABSTRACT
This retrospective study of 127 patients with uterine synechias treated exclusively hysteroscopically included 84 [66.25%] low fertility patients, 36[28.5%] with menstrual disorders and 7 [4%] with no other symptoms. About ninety three patients [73.8%] had a past history of trauma on a gravid uterus. Operative hysteroscopy was performed in all cases, including sections with scissors in 8 cases [13.3%] between 1995 and 1996, and electrosection between 1997 and 2003. A single endoscopic procedure was efficient in 70% of cases and second procedure were required in 6 cases [7.5% of the patients]. No complications due to infection, bleeding or metabolic disorders occurred, but perforations were seen in 2 patients [2.5%] both with complexe synechia. Good anatomic results were achieved after 1 hysteroscopic procedure [70%]. Clinical results were less satisfactory, particularly in cases with low fertility in which another pathology was often associated [31.42%]. We obtained good results in 78.57% of the patients with amenorrhea. However, 49 pregnancies were achieved including 12 normal deliveries
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Uterine Diseases
/
Uterus
/
Hysteroscopy
/
Retrospective Studies
/
Fertility
/
Menstrual Cycle
Type of study:
Case report
Limits:
Female
/
Humans
Language:
French
Journal:
Maghreb Med.
Year:
2006
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