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Intrauterine adhesions after conservative and surgical management of spontaneous abortion.
J Am Assoc Gynecol Laparosc. 2002 May; 9(2):182-5.JA

Abstract

STUDY OBJECTIVE

To determine the frequency of intrauterine adhesions (IUA) after conservative management, medical evacuation, and surgical evacuation for spontaneous abortion.

DESIGN

Prospective follow-up study (Canadian Task Force classification II-2).

SETTING

Gynecology unit in a teaching hospital.

PATIENTS

Eighty-two women who had been treated with conservative management, medical evacuation, or surgical evacuation of retained products of conception after spontaneous abortions in a randomized, controlled trial.

MEASUREMENTS AND MAIN RESULTS

Hysteroscopic diagnosis of IUA 6 months after initial treatment was the primary outcome measure. No cases of IUA were found in patients managed conservatively or by medical evacuation, whereas two cases (7.7%) of filmy IUA were detected in those managed by surgical evacuation. There was no statistical significant difference in the rate of self-reported reduced menstrual flow 6 months after initial treatment by any method.

CONCLUSION

The prevalence of IUA was low after each modality of treatment for spontaneous abortion. Conservative management and medical evacuation are both acceptable alternatives to standard surgical evacuation.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

11960045

Citation

Tam, Wing Hung, et al. "Intrauterine Adhesions After Conservative and Surgical Management of Spontaneous Abortion." The Journal of the American Association of Gynecologic Laparoscopists, vol. 9, no. 2, 2002, pp. 182-5.
Tam WH, Lau WC, Cheung LP, et al. Intrauterine adhesions after conservative and surgical management of spontaneous abortion. J Am Assoc Gynecol Laparosc. 2002;9(2):182-5.
Tam, W. H., Lau, W. C., Cheung, L. P., Yuen, P. M., & Chung, T. K. (2002). Intrauterine adhesions after conservative and surgical management of spontaneous abortion. The Journal of the American Association of Gynecologic Laparoscopists, 9(2), 182-5.
Tam WH, et al. Intrauterine Adhesions After Conservative and Surgical Management of Spontaneous Abortion. J Am Assoc Gynecol Laparosc. 2002;9(2):182-5. PubMed PMID: 11960045.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intrauterine adhesions after conservative and surgical management of spontaneous abortion. AU - Tam,Wing Hung, AU - Lau,Woon Chung, AU - Cheung,Lai Ping, AU - Yuen,Pong Mo, AU - Chung,Tony Kwok-Hung, PY - 2002/4/18/pubmed PY - 2002/6/1/medline PY - 2002/4/18/entrez SP - 182 EP - 5 JF - The Journal of the American Association of Gynecologic Laparoscopists JO - J Am Assoc Gynecol Laparosc VL - 9 IS - 2 N2 - STUDY OBJECTIVE: To determine the frequency of intrauterine adhesions (IUA) after conservative management, medical evacuation, and surgical evacuation for spontaneous abortion. DESIGN: Prospective follow-up study (Canadian Task Force classification II-2). SETTING: Gynecology unit in a teaching hospital. PATIENTS: Eighty-two women who had been treated with conservative management, medical evacuation, or surgical evacuation of retained products of conception after spontaneous abortions in a randomized, controlled trial. MEASUREMENTS AND MAIN RESULTS: Hysteroscopic diagnosis of IUA 6 months after initial treatment was the primary outcome measure. No cases of IUA were found in patients managed conservatively or by medical evacuation, whereas two cases (7.7%) of filmy IUA were detected in those managed by surgical evacuation. There was no statistical significant difference in the rate of self-reported reduced menstrual flow 6 months after initial treatment by any method. CONCLUSION: The prevalence of IUA was low after each modality of treatment for spontaneous abortion. Conservative management and medical evacuation are both acceptable alternatives to standard surgical evacuation. SN - 1074-3804 UR - https://www.unboundmedicine.com/medline/citation/11960045/Intrauterine_adhesions_after_conservative_and_surgical_management_of_spontaneous_abortion_ L2 - https://medlineplus.gov/miscarriage.html DB - PRIME DP - Unbound Medicine ER -