Prevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]

Background: Myomectomy is the best procedure for treatment of uterine fibroids. However, post-myomectomy adhesions represent a major problem. The introduction of hysteroscopic myomectomy thought to reduce these adhesions. However, the incidence is not determined after different shavers.Aim of the wo...

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Autores principales:	Eman Awad, Mohammed Anter, waleed Ayad
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2019
Materias:	hysteroscopy myomectomy uterine adhesions synechiae integrated bigatti shaver Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/412d0d5bc52a476da365e1381fb2f27a
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spelling	oai:doaj.org-article:412d0d5bc52a476da365e1381fb2f27a2021-12-02T10:38:27ZPrevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]2636-41742682-378010.21608/ijma.2019.13646.1015https://doaj.org/article/412d0d5bc52a476da365e1381fb2f27a2019-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_50018_3fce4db83cbb34253c136ef53d6c722b.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Myomectomy is the best procedure for treatment of uterine fibroids. However, post-myomectomy adhesions represent a major problem. The introduction of hysteroscopic myomectomy thought to reduce these adhesions. However, the incidence is not determined after different shavers.Aim of the work: To assess the prevalence of adhesions in women undergoing IBS-myomectomy for uterine fibroids.Patients and methods: The study included 70 women indicated for IBS myomectomy. Eligible females were submitted to full history taking, clinical examination and routine laboratory investigations. In addition, all patients underwent transvaginal ultrasonography. Fibroid grade was defined and hysteroscopic myomectomy. Then office hysteroscopy was done after 3 months of the procedure, and any pathology especially intrauterine adhesions was reported. Patients were classified into two groups; with adhesions and without adhesions.Results: The incidence of adhesions was 5.7%. The development of adhesion was usually associated with multiple myomas present in posterior position who need long resection time and usually the resection is incomplete. The adhesions were usually mild [75%] and there was no complications were reported after hysteroscopic myomectomy.Conclusion: The incidence of intrauterine adhesion after the hysteroscopic myomectomy by IBS is lowEman AwadMohammed Anterwaleed AyadAl-Azhar University, Faculty of Medicine (Damietta)articlehysteroscopymyomectomyuterine adhesionssynechiaeintegrated bigatti shaverMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 1, Iss 2, Pp 103-109 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	hysteroscopy myomectomy uterine adhesions synechiae integrated bigatti shaver Medicine (General) R5-920
spellingShingle	hysteroscopy myomectomy uterine adhesions synechiae integrated bigatti shaver Medicine (General) R5-920 Eman Awad Mohammed Anter waleed Ayad Prevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]
description	Background: Myomectomy is the best procedure for treatment of uterine fibroids. However, post-myomectomy adhesions represent a major problem. The introduction of hysteroscopic myomectomy thought to reduce these adhesions. However, the incidence is not determined after different shavers.Aim of the work: To assess the prevalence of adhesions in women undergoing IBS-myomectomy for uterine fibroids.Patients and methods: The study included 70 women indicated for IBS myomectomy. Eligible females were submitted to full history taking, clinical examination and routine laboratory investigations. In addition, all patients underwent transvaginal ultrasonography. Fibroid grade was defined and hysteroscopic myomectomy. Then office hysteroscopy was done after 3 months of the procedure, and any pathology especially intrauterine adhesions was reported. Patients were classified into two groups; with adhesions and without adhesions.Results: The incidence of adhesions was 5.7%. The development of adhesion was usually associated with multiple myomas present in posterior position who need long resection time and usually the resection is incomplete. The adhesions were usually mild [75%] and there was no complications were reported after hysteroscopic myomectomy.Conclusion: The incidence of intrauterine adhesion after the hysteroscopic myomectomy by IBS is low
format	article
author	Eman Awad Mohammed Anter waleed Ayad
author_facet	Eman Awad Mohammed Anter waleed Ayad
author_sort	Eman Awad
title	Prevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]
title_short	Prevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]
title_full	Prevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]
title_fullStr	Prevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]
title_full_unstemmed	Prevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]
title_sort	prevalence of intrauterine adhesions after hysteroscopic myomectomy by integrated bigatti shaver [ibs]
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2019
url	https://doaj.org/article/412d0d5bc52a476da365e1381fb2f27a
work_keys_str_mv	AT emanawad prevalenceofintrauterineadhesionsafterhysteroscopicmyomectomybyintegratedbigattishaveribs AT mohammedanter prevalenceofintrauterineadhesionsafterhysteroscopicmyomectomybyintegratedbigattishaveribs AT waleedayad prevalenceofintrauterineadhesionsafterhysteroscopicmyomectomybyintegratedbigattishaveribs
_version_	1718396871666302976

Prevalence of Intrauterine Adhesions after Hysteroscopic Myomectomy by Integrated Bigatti Shaver [IBS]

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