Endoscopic treatment of intrauterine adhesions.
OBJECTIVE
The authors investigated the validity of hysteroscopy as a diagnostic and operative technique in cases of intrauterine adhesions.


METHODS
6,680 hysteroscopies were carried out between June 1987 and December 2000 with 201 patients presenting intrauterine adhesions. Only 75 patients underwent resection of the adhesions by hysteroscopy with 94.6% of functional restoration and 93.3% of anatomic resolution.


RESULTS
At 2-month follow-up the uterine cavity was completely regular in 70 cases, while in four cases a second surgical treatment was necessary.


CONCLUSIONS
Good anatomic results are obtained after hysteroscopic treatment of intrauterine adhesions, and pregnancy rates vary from 28.7 to 53.6%.
Pace
S
S
2nd Clinic of Obstetrics and Gynaecology, University "La Sapienza", Rome, Italy.
Stentella
P
P
Catania
R
R
Palazzetti
P L
PL
Frega
A
A
D000328:Adult; D005260:Female; D006801:Humans; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D011247:Pregnancy; D018873:Pregnancy Rate; D012086:Reoperation; D000267:Tissue Adhesions / Q000601:surgery; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000601:surgery*; D014595:Uterine Perforation / Q000209:etiology