Clinically Significant Uterine Synechiae Caused by Transmural Uterine Incisions Nakhuda Gary S. author Columbia University. Obstetrics and Gynecology Douglas Nataki C. author Columbia University. Obstetrics and Gynecology Sauer Mark V. author Columbia University. Obstetrics and Gynecology Columbia University. Obstetrics and Gynecology originator text Articles 2005 English The presence of clinically significant uterine synechiae, or Asherman's syndrome, is suspected when patients with a history of intrauterine instrumentation have new-onset menstrual disturbances, infertility, or recurrent pregnancy loss. Synechiae are typically attributed to instrumentation of a gravid or puerperal uterus. We present two cases in which uterine synechiae resulted from transmural uterine incisions. Hysteroscopic resection of adhesions bridging the anterior and posterior endometrial surfaces restored intrauterine anatomy. However, reproductive potential was still compromised. These cases highlight the need for increased vigilance to avoid iatrogenic intrauterine synechiae during repair of transmural uterine incisions. Obstetrics and gynecology Journal of Gynecologic Surgery 21 2 95 98 2005 http://dx.doi.org/10.1089/gyn.2005.21.95 http://hdl.handle.net/10022/AC:P:14455 NNC NNC 2012-08-20 15:50:03 -0400 2012-08-20 15:57:46 -0400 8475 eng