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Review of intrauterine adhesions


, : Review of intrauterine adhesions. Journal of Minimally Invasive Gynecology 17(5): 555-569

This article has been produced to review the literature on symptomatic and asymptomatic intrauterine adhesions. Electronic resources including Medline, PubMed, CINAHL, The Cochrane Library (including the Cochrane Database of Systematic Reviews), Current Contents, and EMBASE were searched using the Medical Subject Headings (MeSH), including all subheadings, and the keywords "Asherman syndrome," "Hysteroscopic lysis of adhesions," "Hysteroscopic synechiolysis," "Hysteroscopy and adhesion," "Intrauterine adhesions," "Intrauterine septum and synechiae," and "Obstetric outcomes after intrauterine surgery." The vast majority of evidence in the literature consists of uncontrolled case series, with only intrauterine adhesion barriers being assessed in a randomized controlled format. This article reviews epidemiology, pathologic features, classification systems, and treatments. Seven classification systems are described, with no universal acceptance of any one system and no validation of any of them. Hysteroscopy is the mainstay of both diagnosis and treatment, with medical treatments having no role in management. There is a wide range of treatment techniques with no controlled comparative studies, and assessments are descriptive and report fertility and menstrual outcomes, with more severe adhesions having the worst clinical outcomes. One of the most important features of treatment is prevention of recurrence, with the best available evidence demonstrating that newly developed adhesion barriers such as hyaluronic acid show promise for preventing new adhesions.

US$19.90

PMID: 20656564

DOI: 10.1016/j.jmig.2010.04.016


Other references

King, J.A.; Bridger, J.M.; Gounari, F.; Lichter, P.; Schulz, T.F.; Schirrmacher, V.; Khazaie, K., 1998: The extended packaging sequence of MoMLV contains a constitutive mRNA nuclear export function. The present report shows that incorporation of defined sequences from the Moloney murine leukaemia virus (MoMLV) into Rex dependent expression vectors based on the human T-cell leukaemia virus (HTLV-1) allows Rex independent gene expression. Delet...

Trattnig, S.; Bogner, W.; Gruber, S.; Szomolanyi, P.; Juras, V.; Robinson, S.; Zbýň, Štefan.; Haneder, S., 2015: Clinical applications at ultrahigh field (7  T). Where does it make the difference?. Presently, three major MR vendors provide commercial 7-T units for clinical research under ethical permission, with the number of operating 7-T systems having increased to over 50. This rapid increase indicates the growing interest in ultrahigh-fi...

Machado, C.M.L.; Ikemori, R.Y.; Zorzeto, T.Q.; Nogueira, A.C.M.A.; Barbosa, S.D.S.; Savino, W.; Schenka, Aé.A.; Vassallo, Jé.; Heinrich, J.K.; Boetcher-Luiz, Fátima.; Verinaud, L., 2008: Characterization of cells recovered from the xenotransplanted NG97 human-derived glioma cell line subcultured in a long-term in vitro. In order to elucidate tumoral progression and drug resistance, cultured cell lines are valuable tools applied on tumor related assays provided they are well established and characterized. Our laboratory settled the NG97 cell line derived from a hu...

Czarnecki Maulden, G.L.; Rudnick, R.C.; Chausow, D.G., 1993: Copper bioavailability and requirement in the dog Comparison of copper oxide and copper sulfate. FASEB Journal 7(3-4): A305

Harada, K.; Shimoda, S.; Kimura, Y.; Sato, Y.; Ikeda, H.; Igarashi, S.; Ren, X-Shan.; Sato, H.; Nakanuma, Y., 2012: Significance of immunoglobulin G4 (IgG4)-positive cells in extrahepatic cholangiocarcinoma: molecular mechanism of IgG4 reaction in cancer tissue. IgG4 reactions consisting of marked infiltration by immunoglobulin G4 (IgG4)-positive plasma cells in affected organs is found in cancer patients as well as patients with IgG4-related diseases. Notably, extrahepatic cholangiocarcinomas accompanyin...

Brodie, H.K.; Gartrell, N.; Doering, C.; Rhue, T., 1974: Plasma testosterone levels in heterosexual and homosexual men. American Journal of Psychiatry 131(1): 82-83

MacDonald, S., 2002: U.S. cotton & the appreciation of the dollar. The dollar's strength has undoubtedly exacerbated the difficulties facing the US textile industry during the recent slowdown in US and world economic growth. It has also been a factor in lowering cotton prices. Unlike textiles, cotton product...

Baughman, D.E.; Goldston, T.C., 1997: Method and apparatus for separating meat from bones. Official Gazette of the United States Patent & Trademark Office Patents 1202(3): 2033, Sept 16

Wunder, D.; Dong, J.; Baev, D.; Edgerton, M., 2003: Human salivary histatin 5 fungicidal action does not induce programmed cell death pathways in Candida albicans. Salivary histatins (Hsts) are potent candidacidal proteins that induce a nonlytic form of cell death in Candida albicans accompanied by loss of mean cell volume, cell cycle arrest, and elevation of intracellular levels of reactive oxygen species (...

Cabeza, R.; Koester, B.; Liese, R.; Lingner, A.; Baumgarten, V.; Dirks, J.; Salinas-Riester, G.; Pommerenke, C.; Dittert, K.; Schulze, J., 2014: An RNA sequencing transcriptome analysis reveals novel insights into molecular aspects of the nitrate impact on the nodule activity of Medicago truncatula. The mechanism through which nitrate reduces the activity of legume nodules is controversial. The objective of the study was to follow Medicago truncatula nodule activity after nitrate provision continuously and to identify molecular mechanisms, wh...