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Intrauterine adhesion prevention with Malecot catheter after hysteroscopic myomectomy: A novel approach.
Chiu, Christine Shan-Chi; Hwu, Yuh-Ming; Lee, Robert Kuo-Kuang; Lin, Ming-Huei.
Afiliação
  • Chiu CS; Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
  • Hwu YM; Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan; Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan; Mackay Medical College, New Taipei City, Taiwan. Electronic address
  • Lee RK; Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, Taipei Medical University, Taipei, Taiwan.
  • Lin MH; Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan; Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan; Mackay Medical College, New Taipei City, Taiwan.
Taiwan J Obstet Gynecol ; 59(1): 56-60, 2020 Jan.
Article em En | MEDLINE | ID: mdl-32039801
OBJECTIVE: Intrauterine adhesion after hysteroscopic myomectomy contributes to infertility, recurrent miscarriages, menstrual irregularities, and hinders pregnancy outcomes. The aim of this study was to apply the indwelling Malecot catheter in prevention of intrauterine adhesion after hysteroscopic myomectomy and to further evaluate the effectiveness of this approach with reported live birth rates in infertile patients who underwent subsequent infertility treatment. MATERIALS AND METHODS: Seventeen patients with FIGO Classification System PALM-COIEN Type 0 or 1 submucous myoma that received hysteroscopic myomectomy were recruited in this retrospective analysis. Post-operative insertion of the Malecot catheter via the aid of the uterine sound was performed and the catheter was left in place for seven days. RESULTS: The mean duration of TTP (time to pregnancy) was 15.6 months after hysteroscopy. Within three years after the operation, 10 out of 17 infertility patients achieved ongoing pregnancy over 12 weeks. Ongoing pregnancy rate was 58.8% (10/17). Eight patients achieved live birth (seven singletons, one twin pregnancy) with mean gestational age of 38 weeks. Live birth rate was 47.1% (8/17). CONCLUSION: The Malecot catheter is an inexpensive, easy-to-operate, and effective physical barrier method for preventing IUA in infertile patients undergoing hysteroscopic myomectomy with high live birth rate and no obvious visible post-operative adhesions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Complicações na Gravidez / Doenças Uterinas / Histeroscopia / Catéteres / Miomectomia Uterina Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies Limite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Taiwan J Obstet Gynecol Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Taiwan País de publicação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Complicações na Gravidez / Doenças Uterinas / Histeroscopia / Catéteres / Miomectomia Uterina Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies Limite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Taiwan J Obstet Gynecol Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Taiwan País de publicação: China