Severity of intrauterine adhesions and pregnancy success rates after treatment: Comparison of adhesions obtained from open myomectomy versus uterine curettage
Afr. J. reprod. Health (online)
;
26(12): 90-96, 2022. tables
Artículo
en Inglés
| AIM
| ID: biblio-1411776
ABSTRACT
Intrauterine adhesions (IUA) are rare. A retrospective comparative study was conducted between January 1, 2015, and December 31, 2018. Group A comprised 117 women who developed IUAs after open myomectomy, while Group B comprised 113 women who developed IUAs following uterine trauma caused by uterine instrumentation after a termination of pregnancy (TOP) or spontaneous miscarriage. The IUA grade and pregnancy rates and outcomes were compared using the March classification system. All patients underwent hysteroscopic adhesiolysis. The adhesions tended to be more severe (45/117, 38.5%) in Group A than in Group B (29/113, 25.7%); however, this difference was not statistically significant (Chi-Suare 5.047; p = .080). The period of observation was 24 months from the last hysteroscopy. The pregnancy rate in Group A (26, 22.2%) was significantly lower than in Group B (46, 40.7%) (OR 2.403, 95% CI 1.3524.271; p = .003). Open myomectomy was the preceding aetiological factor in a greater proportion of women with IUA in our study. In cases where pregnancy is desired after open myomectomy, especially where the endometrial cavity is breached, postoperative hysteroscopy to exclude IUAs is recommended.
Texto completo:
Disponible
Índice:
AIM (África)
Asunto principal:
Procedimientos Quirúrgicos Ginecológicos
/
Adherencias Tisulares
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Índice de Embarazo
/
Legrado
Tipo de estudio:
Estudio observacional
Idioma:
Inglés
Revista:
Afr. J. reprod. Health (online)
Año:
2022
Tipo del documento:
Artículo
Institución/País de afiliación:
Department of Obstetrics and Gynaecology Ahmadu Bello University/NG
/
Department of Obstetrics and Gynaecology Federal Medical Centre/NG
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Department of Obstetrics and Gynaecology Gynescope Specialist Hospital/NG
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