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Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas.
Fertil Steril. 2008 May; 89(5):1254-1259.FS

Abstract

OBJECTIVE

To analyze the prevalence of intrauterine adhesion (IUA) formation in women undergoing transcervical resection (TCR) for submucous myomas.

DESIGN

Retrospective cohort study.

SETTING

Tertiary university hospital.

PATIENT(S)

One hundred fifty-three women undergoing TCR for submucous myomas were retrospectively analyzed. Among them, 132 women had a solitary myoma (group 1), 5 had two submucous myomas not in apposition to each other and who received postoperative intrauterine device (IUD) placement (group 2), 9 had two or more apposing submucous myomas and received IUD placement (group 3), and 7 had two or more apposing submucous myomas and who underwent subsequent office hysteroscopic early lysis of IUA (group 4).

INTERVENTION(S)

Placement of an IUD for 1 month (groups 2 and 3) or office hysteroscopy for early lysis of IUA within 2 weeks after hysteroscopic myomectomy (group 4).

MAIN OUTCOME MEASURE(S)

Diagnostic office hysteroscopy was done 1-3 months after hysteroscopic myomectomy to evaluate whether there was permanent formation of IUA.

RESULT(S)

Two (1.5%) of 132 women in group 1 had IUA. For women receiving IUD placement; none of the 5 women in group 2 and 7 (78%) of 9 women in group 3 had IUA. For women undergoing office hysteroscopic early lysis of adhesion bands (group 4), none of 7 women had IUA.

CONCLUSION(S)

Intrauterine adhesion is a common complication after TCR for apposing submucous myomas, but not for a solitary myoma. Office hysteroscopy within 2 weeks after TCR is an easy and effective procedure in separating the newly formed IUA.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address: yangys@ntu.edu.tw.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17686478

Citation

Yang, Jehn-Hsiahn, et al. "Office Hysteroscopic Early Lysis of Intrauterine Adhesion After Transcervical Resection of Multiple Apposing Submucous Myomas." Fertility and Sterility, vol. 89, no. 5, 2008, pp. 1254-1259.
Yang JH, Chen MJ, Wu MY, et al. Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas. Fertil Steril. 2008;89(5):1254-1259.
Yang, J. H., Chen, M. J., Wu, M. Y., Chao, K. H., Ho, H. N., & Yang, Y. S. (2008). Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas. Fertility and Sterility, 89(5), 1254-1259. https://doi.org/10.1016/j.fertnstert.2007.05.027
Yang JH, et al. Office Hysteroscopic Early Lysis of Intrauterine Adhesion After Transcervical Resection of Multiple Apposing Submucous Myomas. Fertil Steril. 2008;89(5):1254-1259. PubMed PMID: 17686478.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas. AU - Yang,Jehn-Hsiahn, AU - Chen,Mei-Jou, AU - Wu,Ming-Yih, AU - Chao,Kuang-Han, AU - Ho,Hong-Nerng, AU - Yang,Yu-Shih, Y1 - 2007/08/08/ PY - 2007/04/30/received PY - 2007/05/11/revised PY - 2007/05/11/accepted PY - 2007/8/10/pubmed PY - 2008/6/14/medline PY - 2007/8/10/entrez SP - 1254 EP - 1259 JF - Fertility and sterility JO - Fertil. Steril. VL - 89 IS - 5 N2 - OBJECTIVE: To analyze the prevalence of intrauterine adhesion (IUA) formation in women undergoing transcervical resection (TCR) for submucous myomas. DESIGN: Retrospective cohort study. SETTING: Tertiary university hospital. PATIENT(S): One hundred fifty-three women undergoing TCR for submucous myomas were retrospectively analyzed. Among them, 132 women had a solitary myoma (group 1), 5 had two submucous myomas not in apposition to each other and who received postoperative intrauterine device (IUD) placement (group 2), 9 had two or more apposing submucous myomas and received IUD placement (group 3), and 7 had two or more apposing submucous myomas and who underwent subsequent office hysteroscopic early lysis of IUA (group 4). INTERVENTION(S): Placement of an IUD for 1 month (groups 2 and 3) or office hysteroscopy for early lysis of IUA within 2 weeks after hysteroscopic myomectomy (group 4). MAIN OUTCOME MEASURE(S): Diagnostic office hysteroscopy was done 1-3 months after hysteroscopic myomectomy to evaluate whether there was permanent formation of IUA. RESULT(S): Two (1.5%) of 132 women in group 1 had IUA. For women receiving IUD placement; none of the 5 women in group 2 and 7 (78%) of 9 women in group 3 had IUA. For women undergoing office hysteroscopic early lysis of adhesion bands (group 4), none of 7 women had IUA. CONCLUSION(S): Intrauterine adhesion is a common complication after TCR for apposing submucous myomas, but not for a solitary myoma. Office hysteroscopy within 2 weeks after TCR is an easy and effective procedure in separating the newly formed IUA. SN - 1556-5653 UR - https://www.unboundmedicine.com/medline/citation/17686478/Office_hysteroscopic_early_lysis_of_intrauterine_adhesion_after_transcervical_resection_of_multiple_apposing_submucous_myomas_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0015-0282(07)01150-8 DB - PRIME DP - Unbound Medicine ER -