title: Optimal waiting period for subsequent fertility treatment after various hysteroscopic surgeries.
abstract: OBJECTIVE
  To investigate the endometrial wound healing duration after a hysteroscopic surgery.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Tertiary university hospital.
  
  
  METHODS
  One hundred sixty-three women who underwent hysteroscopic surgeries for endometrial polyp (n = 37), submucous myoma (n = 65), uterine septum (n = 16), and intrauterine adhesion (IUA; n = 45).
  
  
  METHODS
  Postoperative office hysteroscopy was consecutively done until complete endometrial wound healing. If there was newly formed IUA occurring at the endometrial wounds, adhesiolysis was immediately done with the tip of the office hysteroscope.
  
  
  METHODS
  Office hysteroscopic inspection of endometrial wound healing and the presence of newly formed IUA.
  
  
  RESULTS
  Thirty-two of 37 women (86%) achieved a fully healed endometrium 1 month after polypectomy, a higher rate than those after myomectomy (18%), septal incision (19%), and adhesiolysis (67%). Postoperative office hysteroscopy revealed that 88% and 76% of the women had new IUA formation after septal incision and adhesiolysis, respectively, more than those after myomectomy (40%) and polypectomy (0%). Women with postoperative new IUA formation were less likely to achieve endometrial wound healing within 1 month compared with those who had no new IUA formation (31% vs. 61%).
  
  
  CONCLUSIONS
  The duration of endometrial wound healing is different after various hysteroscopic surgeries. Postoperative new IUA formation is an important factor influencing endometrial wound healing.
authors: Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
authors: Jehn-Hsiahn
authors: JH
authors: Yang
authors: Mei-Jou
authors: MJ
authors: Chen
authors: Chin-Der
authors: CD
authors: Chen
authors: Shee-Uan
authors: SU
authors: Chen
authors: Hong-Nerng
authors: HN
authors: Ho
authors: Yu-Shih
authors: YS
authors: Yang
mesh_terms: D000328:Adult; D004717:Endometrium / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D007247:Infertility, Female / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016015:Logistic Models; D016017:Odds Ratio; D011446:Prospective Studies; D062326:Re-Epithelialization; D027724:Reproductive Techniques, Assisted; D062606:Tertiary Care Centers; D013997:Time Factors; D000267:Tissue Adhesions; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D014945:Wound Healing