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Effect of early second-look hysteroscopy on reproductive outcomes after hysteroscopic adhesiolysis in patients with intrauterine adhesion, a retrospective study in China.
Int J Surg. 2018 Feb; 50:49-54.IJ

Abstract

OBJECTIVE

The aim of this study was to assess the effect of early second-look hysteroscopy after hysteroscopic adhesiolysis for intrauterine adhesions (IUAs) on the pregnancy rate (PR) and live birth rate (LBR).

STUDY DESIGN

It is a retrospective, observational study of 151 women were referred to our institution from January 2010 to January 2016. Operative hysteroscopy for treatment of IUAs and office hysteroscopic follow-up to assess IUAs. We investigated demographic characteristics, menstrual pattern, previous intrauterine surgery, reproductive history, ovarian preservation assessment, tubal patency examination, husband's semen test, obstetric parameters, and surgical variables to evaluate the effect of early second-look hysteroscopy after hysteroscopic adhesiolysis on the PR and LBR.

RESULTS

Of 151 women treated for IUAs, the general PR was 71.5% and LBR was 53.0%. The PR and LBR were higher in the earlier second-look group (compared with second hysteroscopy later than 2 months group) and the group which received less than three times adhesiolysis (p < 0.05). The PR was higher in the amenorrhea group (compared with normal menses group) and recurrent miscarriage group (compared with infertility group) (p < 0.05). Logistic regression showed that the second-look time interval, times of operation to relieve adhesion, and pregnancy history were associated with the PR, while age and the second-look time interval were associated with the LBR.

CONCLUSIONS

Early second-look hysteroscopic examinations within 2 months may increase the cumulative PR and LBR.

Authors+Show Affiliations

Assisted Reproduction Unit, Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Key Laboratory of Reproductive Dysfunction Management of Zhejiang Province, No.3 East Qing Chun Road, Hangzhou, 310016, PR China.Assisted Reproduction Unit, Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Key Laboratory of Reproductive Dysfunction Management of Zhejiang Province, No.3 East Qing Chun Road, Hangzhou, 310016, PR China.Assisted Reproduction Unit, Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Key Laboratory of Reproductive Dysfunction Management of Zhejiang Province, No.3 East Qing Chun Road, Hangzhou, 310016, PR China.Assisted Reproduction Unit, Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Key Laboratory of Reproductive Dysfunction Management of Zhejiang Province, No.3 East Qing Chun Road, Hangzhou, 310016, PR China.Assisted Reproduction Unit, Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Key Laboratory of Reproductive Dysfunction Management of Zhejiang Province, No.3 East Qing Chun Road, Hangzhou, 310016, PR China. Electronic address: linna73@zju.edu.cn.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

29203342

Citation

Xu, Wenzhi, et al. "Effect of Early Second-look Hysteroscopy On Reproductive Outcomes After Hysteroscopic Adhesiolysis in Patients With Intrauterine Adhesion, a Retrospective Study in China." International Journal of Surgery (London, England), vol. 50, 2018, pp. 49-54.
Xu W, Zhang Y, Yang Y, et al. Effect of early second-look hysteroscopy on reproductive outcomes after hysteroscopic adhesiolysis in patients with intrauterine adhesion, a retrospective study in China. Int J Surg. 2018;50:49-54.
Xu, W., Zhang, Y., Yang, Y., Zhang, S., & Lin, X. (2018). Effect of early second-look hysteroscopy on reproductive outcomes after hysteroscopic adhesiolysis in patients with intrauterine adhesion, a retrospective study in China. International Journal of Surgery (London, England), 50, 49-54. https://doi.org/10.1016/j.ijsu.2017.11.040
Xu W, et al. Effect of Early Second-look Hysteroscopy On Reproductive Outcomes After Hysteroscopic Adhesiolysis in Patients With Intrauterine Adhesion, a Retrospective Study in China. Int J Surg. 2018;50:49-54. PubMed PMID: 29203342.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of early second-look hysteroscopy on reproductive outcomes after hysteroscopic adhesiolysis in patients with intrauterine adhesion, a retrospective study in China. AU - Xu,Wenzhi, AU - Zhang,Yuxue, AU - Yang,Yang, AU - Zhang,Songying, AU - Lin,Xiaona, Y1 - 2017/12/01/ PY - 2017/10/08/received PY - 2017/11/19/revised PY - 2017/11/27/accepted PY - 2017/12/6/pubmed PY - 2018/7/18/medline PY - 2017/12/6/entrez KW - Adhesiolysis KW - Asherman syndrome KW - Hysteroscopy KW - Intrauterine adhesion KW - Pregnancy SP - 49 EP - 54 JF - International journal of surgery (London, England) JO - Int J Surg VL - 50 N2 - OBJECTIVE: The aim of this study was to assess the effect of early second-look hysteroscopy after hysteroscopic adhesiolysis for intrauterine adhesions (IUAs) on the pregnancy rate (PR) and live birth rate (LBR). STUDY DESIGN: It is a retrospective, observational study of 151 women were referred to our institution from January 2010 to January 2016. Operative hysteroscopy for treatment of IUAs and office hysteroscopic follow-up to assess IUAs. We investigated demographic characteristics, menstrual pattern, previous intrauterine surgery, reproductive history, ovarian preservation assessment, tubal patency examination, husband's semen test, obstetric parameters, and surgical variables to evaluate the effect of early second-look hysteroscopy after hysteroscopic adhesiolysis on the PR and LBR. RESULTS: Of 151 women treated for IUAs, the general PR was 71.5% and LBR was 53.0%. The PR and LBR were higher in the earlier second-look group (compared with second hysteroscopy later than 2 months group) and the group which received less than three times adhesiolysis (p < 0.05). The PR was higher in the amenorrhea group (compared with normal menses group) and recurrent miscarriage group (compared with infertility group) (p < 0.05). Logistic regression showed that the second-look time interval, times of operation to relieve adhesion, and pregnancy history were associated with the PR, while age and the second-look time interval were associated with the LBR. CONCLUSIONS: Early second-look hysteroscopic examinations within 2 months may increase the cumulative PR and LBR. SN - 1743-9159 UR - https://www.unboundmedicine.com/medline/citation/29203342/Effect_of_early_second_look_hysteroscopy_on_reproductive_outcomes_after_hysteroscopic_adhesiolysis_in_patients_with_intrauterine_adhesion_a_retrospective_study_in_China_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-9191(17)31459-0 DB - PRIME DP - Unbound Medicine ER -