Document Detail

Detection of transient postoperative changes in the endometrial cavity by 3-dimensional ultrasonography after hysteroscopic correction of various uterine anomalies.
MedLine Citation:
PMID:  18314524     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this series was to prospectively evaluate early postoperative intrauterine changes by 3-dimensional ultrasonography (3DUS) in patients undergoing hysteroscopic correction of various uterine anomalies. METHODS: Thirty consecutive patients with a diagnosis of an anomaly of the uterine cavity who underwent hysteroscopic correction were studied. Patients had transvaginal 3DUS to display the midcoronal view of the uterus immediately before and 1 and 2 months after hysteroscopy. The presence of postoperative changes and the pregnancy outcomes (either spontaneous or after assisted reproduction) in the subsequent 6 months after hysteroscopy were recorded. RESULTS: Postoperative changes 1 month after hysteroscopy were detected by 3DUS in 20% (6/30) of these patients. The changes detected consisted of intrauterine cystic loculations in 3 patients and endometrial irregularities/possible mucus accumulations in the other 3. These loculations and irregularities were sometimes larger and more complex in nature than the original lesions and always coincided with the resection site. These changes resolved spontaneously after the second postoperative month and did not interfere with embryo implantation or cause pregnancy loss in patients attempting to conceive during the study period. CONCLUSIONS: Patients who underwent hysteroscopic correction of various anomalies of the uterine cavity had immediate postoperative findings when imaged by 3DUS that were transient and of no clinical relevance. These transient and self-resolving ultrasonographic changes did not affect the patients' reproductive capacity.
Silvina M Bocca; Sergio Oehninger; Alfred Z Abuhamad
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  27     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-03     Completed Date:  2008-05-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  461-5     Citation Subset:  IM    
Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, 601 Colley Ave, Norfolk, VA 23507, USA.
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MeSH Terms
Imaging, Three-Dimensional*
Infertility, Female / surgery*,  ultrasonography
Postoperative Complications / ultrasonography*
Pregnancy Outcome
Prospective Studies
Uterus / abnormalities*,  ultrasonography

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