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