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
Artigo
em Inglês
| 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:
DisponíveL
Índice:
AIM (África)
Assunto principal:
Procedimentos Cirúrgicos em Ginecologia
/
Aderências Teciduais
/
Taxa de Gravidez
/
Curetagem
Tipo de estudo:
Estudo observacional
Idioma:
Inglês
Revista:
Afr. J. reprod. Health (online)
Ano de publicação:
2022
Tipo de documento:
Artigo
Instituição/País de afiliação:
Department of Obstetrics and Gynaecology Ahmadu Bello University/NG
/
Department of Obstetrics and Gynaecology Federal Medical Centre/NG
/
Department of Obstetrics and Gynaecology Gynescope Specialist Hospital/NG
Similares
MEDLINE
...
LILACS
LIS