Simplified therapy for Asherman's syndrome.
OBJECTIVE
To evaluate a technique that converts a blind hysteroscopic procedure to a "septum" division.


METHODS
Open noncomparative clinical study.


METHODS
Tertiary care center.


METHODS
Six women with Asherman's syndrome; five with complete and one with incomplete obliteration of the uterine cavity.


METHODS
The patients underwent recreation of the uterine cavity by the hysteroscopic-laparoscopic technique described to establish the correct dissection plane.


METHODS
The ability to reestablish the uterine cavity; postoperative resumption of menses and fertility.


RESULTS
In all patients, the cavity of the uterus was restored; menses resumed in all women who were previously amenorrheic; and 5 women conceived, of whom four had live births and one a missed abortion. At hysteroscopy, two women incurred perforations and in another hemorrhage occurred.


CONCLUSIONS
This technique appears to be effective and safe for the reconstruction of a functional endometrial cavity in women with Asherman's syndrome.
McComb
P F
PF
Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada.
Wagner
B L
BL
D000328:Adult; D005260:Female; D005298:Fertility; D006801:Humans; D007047:Hysterosalpingography; D010535:Laparoscopy / Q000379:methods*; D008598:Menstruation; D013577:Syndrome; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000601:surgery*