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Chapter-47 Intrauterine Adhesions (Asherman′s Syndrome)

BOOK TITLE: State of the Art Atlas of Endoscopic Surgery in Infertility and Gynecology

Author
1. Valle Rafael F
ISBN
9788184489903
DOI
10.5005/jp/books/11190_47
Edition
2/e
Publishing Year
2010
Pages
6
Author Affiliations
1. Northwestern University Medical School, Chicago, Illinois, USA, 880 N. lake shore Drive. Suite 20-C Chicago, Illinois 60611-5715 USA
Chapter keywords

Abstract

Intrauterine adhesions are developed as a result of trauma to a recently pregnant uterus. In over 90% of these cases, the adhesions are caused by curettage. The most vulnerable period for the formation of adhesions is curettage 1-4 weeks following delivery of a term or preterm pregnancy or an abortion. Treatment of intrauterine adhesions can be accomplished by several hysteroscopic methods, the advantages and disadvantages of each should be taken into consideration, as each technique should be tailored not only to the anatomic distortion of each process, but also to the experience and knowledge of the operator. The operator should select the appropriate method and technique for each patient. Sound clinical judgment and versatility play an important role in the selection of therapeutic alternatives, the surgeon has to intelligently select the best method for each individual patient. The hysteroscopic treatment of intrauterine adhesions should be considered the standard method of treatment for this condition and selection of the specific method of hysteroscopic treatment must be done according to the individual experience and extent and type of intrauterine adhesions present.

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