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Curettage and Asherman's syndrome-lessons to (re-) learn?


, : Curettage and Asherman's syndrome-lessons to (re-) learn?. Journal of Obstetrics and Gynaecology Canada 36(11): 997-1001

Objectif : Se pencher sur le groupe de cas de syndrome d’Asherman qui ont été constatés sur une période de 18 mois au sein du centre d’évaluation de la grossesse précoce d’un établissement de soins tertiaires. Méthodes : Nous avons mené un audit de pratique mettant en jeu (a) une analyse détaillée des dossiers des six cas probants et (b) une compilation des choix de traitement pour toutes les nouvelles patientes de ce centre au cours de la même période de 18 mois (de juillet 2011 à décembre 2012). Un diagnostic de syndrome d’Asherman a été porté en fonction d’une combinaison de symptômes menstruels cliniques et d’un diagnostic hystéroscopique d’adhérences intra-utérines. Résultats : Chez les 1 580 nouvelles patientes de ce centre, 884 ont choisi l’une des quatre formes de prise en charge active de l’échec précoce de la grossesse. On a par la suite constaté la présence du syndrome d’Asherman chez six femmes (6/844, 0,7 %). Ces six femmes (100 %) ont subi une dilatation-curetage; trois d’entre elles (50 %) ont dû subir un deuxième curetage. Aucun cas de syndrome d’Asherman n’a été signalé à la suite d’une aspiration manuelle (0/191) ou d’une prise en charge médicale au moyen de misoprostol (0/210). Conclusion : Le syndrome d’Asherman demeure un risque pour les femmes qui subissent une dilatation-curetage aux fins de la prise en charge d’un avortement spontané et devrait constituer une composante importante du processus de consentement éclairé en ce qui concerne cette intervention. La tenue d’une dilatation-curetage et d’un deuxième curetage demeurent d’importants facteurs de risque; ces interventions devraient donc être utilisées de façon judicieuse. L’évaluation des facteurs de risque courants associés à ces cas pourrait permettre de cibler des changements en matière de pratique.

US$29.90

PMID: 25574677


Other references

Blachoin, L.; Pollard, T.D., 2002: Hydrolysis of ATP by polymerized actin depends on the bound divalent cation but not profilin. Growing evidence suggests that the nucleotide bound to actin filaments serves as a timer to control actin filament turnover during cell motility (Pollard, T. D., Blanchoin, L., and Mullins, R. D. (2000) Annu. Rev. Biophys. Biomol. Struct. 29, 545-...

Overgaard J., 1985: Effect of step down heating on the interaction between heat and radiation in a c 3h mammary carcinoma in vivo. Strahlentherapie: 542

Jozkiewicz, S.; Stanosek, J.; Gregorczyk, J.; Krzoska, K.; Lewandowska Tokarz, A., 1965: The effect of chronical influence of noise as well as noise combined with low-frequency vibrations on the blood composition, the relative weight of some organs as well as the content of ascorbic acid in the suparenal glands of guinea pigs. The results of these investigations suggest, that due to these stress stimuli changes will occur in the organism of the experimental animals, which may be related to an activation of the suprarenal glands. The most significant changes were observe...

Barillas Mury, C.; Wells, M.A., 1993: Cloning and sequencing of the blood meal-induced late trypsin gene from the mosquito Aedes aegypti and characterization of the upstream regulatory region. A 4.1 kb genomic clone of the late trypsin gene from the mosquito Aedes aegypti was isolated, mapped and subcloned. A 1.6 kb subclone, corresponding to 1.1 kb of upstream regulatory region and 0.5 kb of coding region, was sequenced. The gene has n...

Doi, A., 1987: A longitudinal follow-up study of 133 alcoholic members of a danshukai. Seishin Shinkeigaku Zasshi 89(6): 407-431

Durden, L.; Beaucournu, J., 2006: Three new fleas from Sulawesi, Indonesia (Siphonaptera : Pygiopsyllidae & Ceratophyllidae). Gryphopsylla maxomydis n. sp. (Pygiopsyllidae), Medwayella rubrisciurae n. sp. (Pygiopsyllidae) and Macrostylophora theresae, n. sp. (Ceratophyllidae) are described from endemic rodents in Sulawesi. Gryphopsylla moxomydis was collected from the mu...

Gladman, D.D.; Tandon, A.; Ibañez, D.; Urowitz, M.B., 2010: The effect of lupus nephritis on pregnancy outcome and fetal and maternal complications. To evaluate the effect of lupus nephritis on pregnancy with respect to fetal outcome, maternal complications, and lupus activity. All pregnancies seen between 1970 and 2003 in the Lupus Clinic were evaluated for the 3 outcomes. Renal disease was d...

Turner, N.A.; Xia, F.; Azhar, G.; Zhang, X.; Liu, L.; Wei, J.Y., 1998: Oxidative stress induces DNA fragmentation and caspase activation via the c-Jun NH2-terminal kinase pathway in H9c2 cardiac muscle cells. The aim of this study was to test the hypothesis that oxidative stress induces apoptosis in the H9c2 cardiac muscle cell line, and that signaling via mitogen-activated protein kinase (MAPK) pathways is involved. Three forms of oxidative stress wer...

Hashimoto K.; Hatanaka H., 1984: Determination of synthetic drugs illegally enriching by chinese medicine. A simple and rapid high performance liquid chromatographic (HPLC) procedure was established for the quantitative determination of dexamethasone (DM) in Chinese medicine. DM was extracted with acetonitrile from Chinese medicine, cleaned by the use...

Kuhn, C.; Bublak, P.; Jobst, U.; Rosenthal, A.; Reinhart, S.; Kerkhoff, G., 2012: Contralesional spatial bias in chronic hemianopia: the role of (ec)centric fixation, spatial cueing and visual search. Patients with homonymous hemianopia often show a contralesional shift towards their blind field when bisecting horizontal lines ('hemianopic line bisection error', HLBE). The reasons for this spatial bias are not well understood and deba...