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Optimal waiting period for subsequent fertility treatment after various hysteroscopic surgeries.
Fertil Steril. 2013 Jun; 99(7):2092-6.e3.FS

Abstract

OBJECTIVE

To investigate the endometrial wound healing duration after a hysteroscopic surgery.

DESIGN

Prospective study.

SETTING

Tertiary university hospital.

PATIENT(S)

One hundred sixty-three women who underwent hysteroscopic surgeries for endometrial polyp (n = 37), submucous myoma (n = 65), uterine septum (n = 16), and intrauterine adhesion (IUA; n = 45).

INTERVENTION(S)

Postoperative office hysteroscopy was consecutively done until complete endometrial wound healing. If there was newly formed IUA occurring at the endometrial wounds, adhesiolysis was immediately done with the tip of the office hysteroscope.

MAIN OUTCOME MEASURE(S)

Office hysteroscopic inspection of endometrial wound healing and the presence of newly formed IUA.

RESULT(S)

Thirty-two of 37 women (86%) achieved a fully healed endometrium 1 month after polypectomy, a higher rate than those after myomectomy (18%), septal incision (19%), and adhesiolysis (67%). Postoperative office hysteroscopy revealed that 88% and 76% of the women had new IUA formation after septal incision and adhesiolysis, respectively, more than those after myomectomy (40%) and polypectomy (0%). Women with postoperative new IUA formation were less likely to achieve endometrial wound healing within 1 month compared with those who had no new IUA formation (31% vs. 61%).

CONCLUSION(S)

The duration of endometrial wound healing is different after various hysteroscopic surgeries. Postoperative new IUA formation is an important factor influencing endometrial wound healing.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

23433831

Citation

Yang, Jehn-Hsiahn, et al. "Optimal Waiting Period for Subsequent Fertility Treatment After Various Hysteroscopic Surgeries." Fertility and Sterility, vol. 99, no. 7, 2013, pp. 2092-6.e3.
Yang JH, Chen MJ, Chen CD, et al. Optimal waiting period for subsequent fertility treatment after various hysteroscopic surgeries. Fertil Steril. 2013;99(7):2092-6.e3.
Yang, J. H., Chen, M. J., Chen, C. D., Chen, S. U., Ho, H. N., & Yang, Y. S. (2013). Optimal waiting period for subsequent fertility treatment after various hysteroscopic surgeries. Fertility and Sterility, 99(7), 2092-e3. https://doi.org/10.1016/j.fertnstert.2013.01.137
Yang JH, et al. Optimal Waiting Period for Subsequent Fertility Treatment After Various Hysteroscopic Surgeries. Fertil Steril. 2013;99(7):2092-6.e3. PubMed PMID: 23433831.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optimal waiting period for subsequent fertility treatment after various hysteroscopic surgeries. AU - Yang,Jehn-Hsiahn, AU - Chen,Mei-Jou, AU - Chen,Chin-Der, AU - Chen,Shee-Uan, AU - Ho,Hong-Nerng, AU - Yang,Yu-Shih, Y1 - 2013/02/22/ PY - 2012/11/22/received PY - 2013/01/24/revised PY - 2013/01/24/accepted PY - 2013/2/26/entrez PY - 2013/2/26/pubmed PY - 2013/7/26/medline SP - 2092 EP - 6.e3 JF - Fertility and sterility JO - Fertil. Steril. VL - 99 IS - 7 N2 - OBJECTIVE: To investigate the endometrial wound healing duration after a hysteroscopic surgery. DESIGN: Prospective study. SETTING: Tertiary university hospital. PATIENT(S): One hundred sixty-three women who underwent hysteroscopic surgeries for endometrial polyp (n = 37), submucous myoma (n = 65), uterine septum (n = 16), and intrauterine adhesion (IUA; n = 45). INTERVENTION(S): Postoperative office hysteroscopy was consecutively done until complete endometrial wound healing. If there was newly formed IUA occurring at the endometrial wounds, adhesiolysis was immediately done with the tip of the office hysteroscope. MAIN OUTCOME MEASURE(S): Office hysteroscopic inspection of endometrial wound healing and the presence of newly formed IUA. RESULT(S): Thirty-two of 37 women (86%) achieved a fully healed endometrium 1 month after polypectomy, a higher rate than those after myomectomy (18%), septal incision (19%), and adhesiolysis (67%). Postoperative office hysteroscopy revealed that 88% and 76% of the women had new IUA formation after septal incision and adhesiolysis, respectively, more than those after myomectomy (40%) and polypectomy (0%). Women with postoperative new IUA formation were less likely to achieve endometrial wound healing within 1 month compared with those who had no new IUA formation (31% vs. 61%). CONCLUSION(S): The duration of endometrial wound healing is different after various hysteroscopic surgeries. Postoperative new IUA formation is an important factor influencing endometrial wound healing. SN - 1556-5653 UR - https://www.unboundmedicine.com/medline/citation/23433831/Optimal_waiting_period_for_subsequent_fertility_treatment_after_various_hysteroscopic_surgeries_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0015-0282(13)00193-3 DB - PRIME DP - Unbound Medicine ER -