title: Does cold loop hysteroscopic myomectomy reduce intrauterine adhesions? A retrospective study.
abstract: OBJECTIVE
  To estimate the prevalence and the characteristics of intrauterine adhesions after cold loop resectoscopic myomectomy.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Endoscopic gynecologic center.
  
  
  METHODS
  688 women with one or more G1-G2 myomas.
  
  
  METHODS
  Cold loop resectoscopic myomectomy and diagnostic hysteroscopy in all patients 2 months after surgery.
  
  
  METHODS
  Integrity of the uterine cavity and prevalence of intrauterine synechiae.
  
  
  RESULTS
  A total of 806 myomas were removed, ranging from a minimum of one to a maximum of five fibroids removed for each surgical procedure. Complications were reported in eight cases (1.16%). No hemorrhage, intravasation clinical syndrome, or perforation with the thermal loop were registered. Synechiae were found in 29 patients (4.23%): in 2 patients a new surgical hysteroscopic treatment was required to remove fibrous synechiae, and in 27 patients light adhesions were removed with the tip of the instrument in outpatient hysteroscopy. Neither intrauterine device nor anti-adherence mixtures were used at the end of surgery.
  
  
  CONCLUSIONS
  The cold loop hysteroscopic myomectomy is a safe and effective procedure that seems to be associated with a lower rate of intrauterine adhesions in comparison with the reported literature. The issue appears to be of notable importance for fertility patients.
authors.affiliation: "Arbor Vitae" Centre, Clinica Nuova Villa Claudia, Rome, Italy.
authors.forename: Ivan
authors.initials: I
authors.lastname: Mazzon
authors.affiliation: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Favilli
authors.affiliation: "Arbor Vitae" Centre, Clinica Nuova Villa Claudia, Rome, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Cocco
authors.affiliation: "Arbor Vitae" Centre, Clinica Nuova Villa Claudia, Rome, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Grasso
authors.affiliation: "Arbor Vitae" Centre, Clinica Nuova Villa Claudia, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Horvath
authors.affiliation: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Bini
authors.affiliation: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy.
authors.forename: Gian Carlo
authors.initials: GC
authors.lastname: Di Renzo
authors.affiliation: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy. Electronic address: sandro.gerli@unipg.it.
authors.forename: Sandro
authors.initials: S
authors.lastname: Gerli
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003080:Cold Temperature; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007889:Leiomyoma / Q000175:diagnosis* / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000175:diagnosis / Q000601:surgery; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D055815:Young Adult
keywords: Adhesions; cold loop; hysteroscopy; myomectomy; synechiae