Tags

Type your tag names separated by a space and hit enter

Intrauterine adhesion prevention with Malecot catheter after hysteroscopic myomectomy: A novel approach.
Taiwan J Obstet Gynecol. 2020 Jan; 59(1):56-60.TJ

Abstract

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.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.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: hwuba4416@gmail.com.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.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.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32039801

Citation

Chiu, Christine Shan-Chi, et al. "Intrauterine Adhesion Prevention With Malecot Catheter After Hysteroscopic Myomectomy: a Novel Approach." Taiwanese Journal of Obstetrics & Gynecology, vol. 59, no. 1, 2020, pp. 56-60.
Chiu CS, Hwu YM, Lee RK, et al. Intrauterine adhesion prevention with Malecot catheter after hysteroscopic myomectomy: A novel approach. Taiwan J Obstet Gynecol. 2020;59(1):56-60.
Chiu, C. S., Hwu, Y. M., Lee, R. K., & Lin, M. H. (2020). Intrauterine adhesion prevention with Malecot catheter after hysteroscopic myomectomy: A novel approach. Taiwanese Journal of Obstetrics & Gynecology, 59(1), 56-60. https://doi.org/10.1016/j.tjog.2019.11.008
Chiu CS, et al. Intrauterine Adhesion Prevention With Malecot Catheter After Hysteroscopic Myomectomy: a Novel Approach. Taiwan J Obstet Gynecol. 2020;59(1):56-60. PubMed PMID: 32039801.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intrauterine adhesion prevention with Malecot catheter after hysteroscopic myomectomy: A novel approach. AU - Chiu,Christine Shan-Chi, AU - Hwu,Yuh-Ming, AU - Lee,Robert Kuo-Kuang, AU - Lin,Ming-Huei, PY - 2019/03/05/accepted PY - 2020/2/11/entrez KW - Hysteroscopic myomectomy KW - Intrauterine adhesion KW - Malecot catheter SP - 56 EP - 60 JF - Taiwanese journal of obstetrics & gynecology JO - Taiwan J Obstet Gynecol VL - 59 IS - 1 N2 - 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. SN - 1875-6263 UR - https://www.unboundmedicine.com/medline/citation/32039801/Intrauterine_adhesion_prevention_with_Malecot_catheter_after_hysteroscopic_myomectomy:_A_novel_approach_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1028-4559(19)30275-X DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.