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Intrauterine adhesions after open myomectomy: an audit.

Eur J Obstet Gynecol Reprod Biol. 2014 Aug;179:42-5. doi: 10.1016/j.ejogrb.2014.04.034. Epub 2014 May 24.

Conforti A1, Krishnamurthy GB2, Dragamestianos C2, Kouvelas S2, Micallef Fava A2, Tsimpanakos I2, Magos A2.

Eur J Obstet Gynecol Reprod Biol
ABSTRACT
AbstractOBJECTIVE: To estimate the incidence of intrauterine adhesions after open myomectomy.STUDY DESIGN: A prospective audit descriptive study was conducted involving thirty-six women who had undergone open myomectomy for symptomatic fibroids at a large undergraduate teaching hospital. A follow-up out-patient hysteroscopy was performed three months after surgery.RESULTS: At hysteroscopy, eighteen patients (50%) were found to have mild to moderate intrauterine adhesions. The number of fibroids removed was significantly higher in patient who developed adhesions (median value 22 versus 9.5, p<0.05). Pre-operative GnRHa therapy, uterine size, opening of the uterine cavity during surgery, specimen weight, estimated blood loss, post-operative bleeding or pyrexia were similar whether or not adhesions were found.CONCLUSION: Open myomectomy represents an important but currently underappreciated aetiological factor in the formation of intrauterine adhesions.Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Full Text Source: Elsevier Science
PMID:24965978 | http://www.ncbi.nlm.nih.gov/pubmed/24965978

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