| Fluoroscopically guided hysteroscopic division of adhesions in severe Asherman syndrome. | |
| | |
MedLine Citation:
|
PMID: 10362178 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Severe Asherman syndrome that is stage III disease according to the American Fertility Society, with obliteration of the uterine cavity and the inability to visualize isolated pockets of the intrauterine cavity, makes safe and effective hysteroscopic division of adhesions difficult, if not impossible. TECHNIQUE: A 16-gauge, 80-mm Tuohy needle is introduced into the endocervical canal alongside a 5-mm diagnostic hysteroscope. The surgeon probes the area beyond the adhesion with the needle. Ultravist 76.9% is injected through the needle under fluoroscopic and hysteroscopic control. Hidden pockets of endometrium can be located radiographically, a passageway is created using the needle, and subsequent division of adhesions is performed under direct vision with hysteroscopic scissors. EXPERIENCE: Since 1984, approximately 55 women with severe Asherman syndrome have undergone this procedure. All patients required at least two procedures, and one woman required six. There have been two cases of uneventful perforation with the Tuohy needle, and all women resumed menstruation. No serious complications have occurred. CONCLUSION: This technique provides an intraoperative fluoroscopic view of pockets of endometrium behind an otherwise blind-ending endocervical canal in women with severe Asherman syndrome, allowing guided division of adhesions and reducing the likelihood of perforation and formation of false passageways. |
| | |
Authors:
|
J D Broome; T G Vancaillie |
Related Documents
:
|
1678018 - Cutaneous polyarteritis nodosa and ulcerative colitis. 15927648 - Boerhaave's syndrome: diagnosis and treatment. 4064498 - The barium enema appearances in solitary rectal ulcer syndrome. 7846238 - Delusional misidentification: a clinical, neuropsychological and brain imaging case study. 20195188 - Cavitating otosclerosis: clinical, radiologic, and histopathologic correlations. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Obstetrics and gynecology Volume: 93 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 1999 Jun |
Date Detail:
|
Created Date: 1999-07-07 Completed Date: 1999-07-07 Revised Date: 2009-10-26 |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1041-3 Citation Subset: AIM; IM |
Affiliation:
|
School of Obstetrics & Gynaecology, University New South Wales, Anzac Parade, Kingston, Australia. v.wallace@unsw.edu.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Female Fluoroscopy Gynatresia / surgery* Humans Hysteroscopy / methods* Severity of Illness Index Tissue Adhesions / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fetal pulse oximetry: duration of desaturation and intrapartum outcome.
Next Document: A breast clinic in a department of obstetrics and gynecology.