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Endoscopic treatment of intrauterine adhesions
S Pace1, P Stentella, R Catania
12nd Clinic of Obstetrics and Gynaecology, University "La Sapienza", Rome, Italy.
Purpose Of Investigation:
The authors investigated the validity of hysteroscopy as a diagnostic and operative technique in cases of intrauterine adhesions.
Methods:
6,680 hysteroscopies were carried out between June 1987 and December 2000 with 201 patients presenting intrauterine adhesions. Only 75 patients underwent resection of the adhesions by hysteroscopy with 94.6% of functional restoration and 93.3% of anatomic resolution.
Results:
At 2-month follow-up the uterine cavity was completely regular in 70 cases, while in four cases a second surgical treatment was necessary.
Conclusion:
Good anatomic results are obtained after hysteroscopic treatment of intrauterine adhesions, and pregnancy rates vary from 28.7 to 53.6%.