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M Mára - One of the best experts on this subject based on the ideXlab platform.
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Ashermans Syndrome: the description of two case reports
2018Co-Authors: M Miklošová, M MáraAbstract:Objective To point out the importance of proper indication and careful performance of intrauterine surgical procedures. To highlight the key role of early diagnostic and treatment of intrauterine adhesions. Setting Department of Obstetrics and Gynecology, Hospitals of Pardubice Region, Chrudim Hospital. Clinic of Obstetrics and Gynecology, General University Hospital in Prague and 1st Faculty of Medicine Charles university. Design Case report. Methods The description of 2 different cases of the patients with the Asherman´s Syndrome. Conclusion Ashermans Syndrome is a serious condition with complicated treatment and uncertain prognosis regarding fertility. Primary prevention as well as timely diagnosis and treatment seems to be crucial in the management of this patology. Keywords Ashermans Syndrome, intrauterine adhesions, surgical revision of uterine cavity, hysteroscopy.
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Ashermans Syndrome: the description of two case reports.
Ceska gynekologie, 1Co-Authors: M Miklošová, M MáraAbstract:To point out the importance of proper indication and careful performance of intrauterine surgical procedures. To highlight the key role of early diagnostic and treatment of intrauterine adhesions. Department of Obstetrics and Gynecology, Hospitals of Pardubice Region, Chrudim Hospital. Clinic of Obstetrics and Gynecology, General University Hospital in Prague and 1st Faculty of Medicine Charles university. Case report. The description of 2 different cases of the patients with the Asherman´s Syndrome. Ashermans Syndrome is a serious condition with complicated treatment and uncertain prognosis regarding fertility. Primary prevention as well as timely diagnosis and treatment seems to be crucial in the management of this patology. Keywords Ashermans Syndrome, intrauterine adhesions, surgical revision of uterine cavity, hysteroscopy.
M Miklošová - One of the best experts on this subject based on the ideXlab platform.
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Ashermans Syndrome: the description of two case reports
2018Co-Authors: M Miklošová, M MáraAbstract:Objective To point out the importance of proper indication and careful performance of intrauterine surgical procedures. To highlight the key role of early diagnostic and treatment of intrauterine adhesions. Setting Department of Obstetrics and Gynecology, Hospitals of Pardubice Region, Chrudim Hospital. Clinic of Obstetrics and Gynecology, General University Hospital in Prague and 1st Faculty of Medicine Charles university. Design Case report. Methods The description of 2 different cases of the patients with the Asherman´s Syndrome. Conclusion Ashermans Syndrome is a serious condition with complicated treatment and uncertain prognosis regarding fertility. Primary prevention as well as timely diagnosis and treatment seems to be crucial in the management of this patology. Keywords Ashermans Syndrome, intrauterine adhesions, surgical revision of uterine cavity, hysteroscopy.
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Ashermans Syndrome: the description of two case reports.
Ceska gynekologie, 1Co-Authors: M Miklošová, M MáraAbstract:To point out the importance of proper indication and careful performance of intrauterine surgical procedures. To highlight the key role of early diagnostic and treatment of intrauterine adhesions. Department of Obstetrics and Gynecology, Hospitals of Pardubice Region, Chrudim Hospital. Clinic of Obstetrics and Gynecology, General University Hospital in Prague and 1st Faculty of Medicine Charles university. Case report. The description of 2 different cases of the patients with the Asherman´s Syndrome. Ashermans Syndrome is a serious condition with complicated treatment and uncertain prognosis regarding fertility. Primary prevention as well as timely diagnosis and treatment seems to be crucial in the management of this patology. Keywords Ashermans Syndrome, intrauterine adhesions, surgical revision of uterine cavity, hysteroscopy.
Fadare Oluwaseun O - One of the best experts on this subject based on the ideXlab platform.
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reproductive outcome following hysteroscopic adhesiolysis in patients with Ashermans Syndrome
Journal of laparoscopic surgery, 2011Co-Authors: Fadare Oluwaseun OAbstract:Asherman�s Syndrome is a clinical condition characterized by a spectrum of disorders ranging from amenorrhea to hypomenorrhea tonormal menses. It is frequently associated with infertility or recurrent pregnancy loss. Hysteroscopic adhesiolysis with adjuvantmeasures is considered the gold standard of treatment. A number of studies have reported on the reproductive outcomes aftertreatment of Asherman�s Syndrome with varied results as these are difficult to assess because there is no universally agreed systemof classification. Such outcome measures include resumption of normal menses, conception rate and pregnancy outcome. We reviewthe current best evidence about treatment modalities as well as subsequent reproductive outcome for Asherman�s Syndrome.Conclusion: Large prospective controlled studies are needed to determine the best diagnostic and treatment modalities for intrauterineadhesions.
O Asuquo - One of the best experts on this subject based on the ideXlab platform.
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Intrauterine adhesions in the University of Uyo Teaching Hospital, Uyo, South-South, Nigeria: A ten year review
Wolters Kluwer Medknow Publications, 2019Co-Authors: N Utuk, A M Abasiattai, O AsuquoAbstract:Background: Asherman's Syndrome is a clinical entity that can cause menstrual abnormalities and infertility. Objectives: This study was done to determine the risk factors, and management outcome of intrauterine adhesions in our hospital. Subjects and Methods: We carried out a retrospective study of the patients who were treated for intrauterine adhesions at the University of Uyo Teaching Hospital over a 10 years period-from January 1st 2006 to December 2016. Results: During the study period, a total of 1977 gynecological surgeries were performed of which 83 were for intrauterine adhesions, giving a rate of 4.2%. However, only 52 folders were retrieved, giving a retrieval rate of 62.5%. Analyses, using ratios and percentages, was based on these. Most patients belonged to the 30-34 age group (28.9%) followed by the 20-24 age group (25.0%). The majority of the patients were nulliparous (58.9%), married (65.4%) and had a tertiary education (50.0%). Dilatation and curettage for induced abortion (42.3%), open myomectomy (26.9%), and caesarean section (19.2%) were the common risk factors. Amenorrhoea (65.4%), and hypomenorrhoea (30.8%) were the commonest modes of presentation. All the patients were managed by blind adhesiolysis, done overwhelmingly by the resident doctors, under anaesthesia with a significant percentage (65.3%) showing that there is no change in menstrual condition. Conclusion: Ashermans Syndrome is a relatively common condition, and it is necessary to train doctors in the use of, and acquire, a hysteroscope, for the proper management of this condition. Meanwhile, more senior personnel should be involved in the blind adhesiolysis, and Foley catheter that appears superior as a uterine splint to the intrauterine contraceptive device
Songying Zhang - One of the best experts on this subject based on the ideXlab platform.
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a comparison of intrauterine balloon intrauterine contraceptive device and hyaluronic acid gel in the prevention of adhesion reformation following hysteroscopic surgery for asherman Syndrome a cohort study
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2013Co-Authors: T. C. Li, Qiongxiao Huang, Dong Huang, Feng Zhou, Songying ZhangAbstract:OBJECTIVE: To compare the efficacy of intrauterine balloon intrauterine contraceptive device and hyaluronic acid gel in the prevention of the adhesion reformation after hysteroscopic adhesiolysis for Ashermans Syndrome. STUDY DESIGN: Retrospective cohort study of 107 women with Ashermans Syndrome who were treated with hysteroscopic division of intrauterine adhesions. After hysteroscopic adhesiolysis 20 patients had intrauterine balloon inserted 28 patients had intrauterine contraceptive device (IUD) fitted 18 patients had hyaluronic acid gel instilled into the uterine cavity and 41 control subjects did not have any of the three additional treatment measures. A second-look hysteroscopy was performed in all cases and the effect of hysteroscopic adhesiolysis was scored by the American Fertility Society classification system. RESULTS: Both the intrauterine balloon group and the IUD group achieved significantly (P<0.001) greater reduction in the adhesion score than that of the hyaluronic acid gel group and control group. The efficacy of the balloon was greater than that of the IUD (P<0.001). There was no significant difference in results between the hyaluronic acid gel group and the control groups. CONCLUSION: The insertion of an intrauterine balloon or intrauterine device is more effective than the use of hyaluronic acid gel in the prevention of intra-uterine adhesion reformation. Crown Copyright (c) 2013. Published by Elsevier Ireland Ltd. All rights reserved.
