Asherman' syndrome: diagnosis and simplified handling
DOI:
https://doi.org/10.18597/rcog.753Keywords:
Asherman' syndrome, sonohisterography, sinechia, intrauterine adherenceAbstract
OBJECTIVE: To determine the utility of the sonohisterography and the uterine dilation in the diagnosis and handling of the Asherman' syndrome.
METHOD AND PATIENTS: 10 patients were included: Six had antecedent of postabortum curettage, two with postchildbirth curettage, one with endometritis and curettage alter delivery and the last one with surgery of Strasman.
RESULTS: In the 10 patients the sonohisterography showed sinechia and its location; in 7 patients the loosening of the intrauterine adhesions with dilators of Hegar was successful, in one patients with heavy adhesions and located in the superior part of the endometriaI cavity, the expansion was not possible and 2 patients preferred not to be put under processing.
CONCLUSIONS: The sonohisterography is an effective diagnosis resource in patients with Asherman's syndrome and the loosening of the intrauterine adhesions with dilators of Hegar for its handling.
Author Biography
Eyder Burbano Adrada
References
O' Dowd MJ, Philipp EE. Historia de la Ginecología y la Obstetricia. Edika Med. 1a. Edición 1995; 248.
Gómez Tabarez G. Factor uterino en infertilidad. Endocrinología Reproductiva e Infertilidad. Artes Gráficas Univalle. 1a. Edición 1999; 532-533.
Capella-Allouc S. Hysteroscopic treatment of severe Asherman's syndrome and subsequent fertility; Hum Reprod, 1999 May.
Westendorp IC. Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeated curettage for incomplete abortion.; Hum Reprod, 1998 Dec.
Burbano Adrada E. Sonohisterografía: Un recurso diagnóstico en pacientes con hemorragia uterina anormal. Rev Colomb Obstet Ginecol 1988; 15: 169-172.
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