TY - JOUR
T1 - A method for safe hysteroscopic synechiolysis in patients with asherman syndrome
AU - Hayasaka, Shinichi
AU - Murakami, Takashi
AU - Arai, Maiko
AU - Ugajin, Tomohisa
AU - Nabeshima, Hiroshi
AU - Yuki, Hiromitu
AU - Terada, Yukihiro
AU - Yaegashi, Nobuo
PY - 2009/12/1
Y1 - 2009/12/1
N2 - Background: Uterine perforation is the most common complication of hysteroscopic synechiolysis for severe Asherman syndrome. We have developed a novel technique for hysteroscopic synechiolysis in which ultrasound guidance is used to prevent perforation. Case: A 32-year-old woman with recurrent spontaneous abortions was diagnosed with Asherman syndrome after a hysteroscopic myomectomy. Synechiolysis is performed solely with hysteroscopic blunt dissection, without the use of an activated electrosurgical device. Transrectal ultrasound is used to visualize the surgical instruments in the area of the cervix, and abdominal ultrasonography guides the operative approach within the uterine cavity. Conclusions: We have successfully utilized this simple, safe technique in a patient who had developed Asherman syndrome after hysteroscopic surgery and conceived spontaneously after a hysteroscopic synechiolysis. (J GYNECOL SURG 25:147)
AB - Background: Uterine perforation is the most common complication of hysteroscopic synechiolysis for severe Asherman syndrome. We have developed a novel technique for hysteroscopic synechiolysis in which ultrasound guidance is used to prevent perforation. Case: A 32-year-old woman with recurrent spontaneous abortions was diagnosed with Asherman syndrome after a hysteroscopic myomectomy. Synechiolysis is performed solely with hysteroscopic blunt dissection, without the use of an activated electrosurgical device. Transrectal ultrasound is used to visualize the surgical instruments in the area of the cervix, and abdominal ultrasonography guides the operative approach within the uterine cavity. Conclusions: We have successfully utilized this simple, safe technique in a patient who had developed Asherman syndrome after hysteroscopic surgery and conceived spontaneously after a hysteroscopic synechiolysis. (J GYNECOL SURG 25:147)
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U2 - 10.1089/gyn.2009.0025
DO - 10.1089/gyn.2009.0025
M3 - Article
AN - SCOPUS:72049092058
VL - 25
SP - 147
EP - 152
JO - Journal of Gynecologic Surgery
JF - Journal of Gynecologic Surgery
SN - 1042-4067
IS - 4
ER -