title: Intrauterine adhesions after open myomectomy: an audit.
abstract: OBJECTIVE
  To estimate the incidence of intrauterine adhesions after open myomectomy.
  
  
  METHODS
  A prospective audit descriptive study was conducted involving thirty-six women who had undergone open myomectomy for symptomatic fibroids at a large undergraduate teaching hospital. A follow-up out-patient hysteroscopy was performed three months after surgery.
  
  
  RESULTS
  At hysteroscopy, eighteen patients (50%) were found to have mild to moderate intrauterine adhesions. The number of fibroids removed was significantly higher in patient who developed adhesions (median value 22 versus 9.5, p<0.05). Pre-operative GnRHa therapy, uterine size, opening of the uterine cavity during surgery, specimen weight, estimated blood loss, post-operative bleeding or pyrexia were similar whether or not adhesions were found.
  
  
  CONCLUSIONS
  Open myomectomy represents an important but currently underappreciated aetiological factor in the formation of intrauterine adhesions.
authors: University Department of Obstetrics and Gynecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK. Electronic address: confale@hotmail.it.
authors: Alessandro
authors: A
authors: Conforti
authors: University Department of Obstetrics and Gynecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK.
authors: Geeta B
authors: GB
authors: Krishnamurthy
authors: University Department of Obstetrics and Gynecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK.
authors: Christos
authors: C
authors: Dragamestianos
authors: University Department of Obstetrics and Gynecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK.
authors: Sotirios
authors: S
authors: Kouvelas
authors: University Department of Obstetrics and Gynecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK.
authors: Alison
authors: A
authors: Micallef Fava
authors: University Department of Obstetrics and Gynecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK.
authors: Ioannis
authors: I
authors: Tsimpanakos
authors: University Department of Obstetrics and Gynecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK.
authors: Adam
authors: A
authors: Magos
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D000267:Tissue Adhesions / Q000453:epidemiology / Q000209:etiology; D014591:Uterine Diseases / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D063186:Uterine Myomectomy / Q000009:adverse effects*; D014599:Uterus / Q000601:surgery*
keywords: Hysteroscopy; Intrauterine adhesions; Open myomectomy; Surgical technique; Uterine myomas