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Should hysteroscopy be provided for patients who have undergone instrumental intrauterine intervention after delivery?
MedLine Citation:
PMID:  22168749     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We investigated the frequency of pathology, especially intrauterine adhesions, after instrumental evacuation within 24 hours of delivery in a prospective observational intervention study on 100 women where a "see and treat" hysteroscopy was performed after 3-4 months. There were two possible etiology groups: intrauterine adhesions (classified according by European Society for Gynecologic Endoscopy (ESGE) grades I-IV) and residual tissue (classified as minimal and considerable). Adhesions were found in 18% of patients: ESGE I-II in 13% and ESGE III-IV in 5%. Residual tissue was present in 33%: minimal in 23% and considerable in 10%. There were 6% who had both mild adhesions and minimal residual tissue, while 43% of the women had normal intrauterine findings. Of the women 32% were symptomatic (spotting, bleeding). Only residual tissue correlated with symptoms (r = 0.376; p<0.001). There is a high prevalence of acquired intrauterine pathology (57%) in women who require early instrumental evacuation.
Authors:
Lucie Hrazdirova; Kamil Svabik; Zdenek Zizka; Anna Germanova; David Kuzel
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-14
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors AOGS© 2011 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
Department of Obstetrics and Gynecology, General University Hospital and First Faculty of Medicine, Charles University, Prague, Czech Republic.
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