title: Hysteroscopic Intrauterine Adhesiolysis Using the "Ploughing" Technique With Cold Scissors.
abstract: OBJECTIVE
  The majority of the current published literature describes hysteroscopic adhesiolysis (HA) for patients with intrauterine adhesions (IUA) using electrical instruments which may cause thermal injury to the endometrium. This video shows the procedure for HA using the "ploughing" technique with cold scissors.
  
  
  METHODS
  Step-by-step explanation of the technique using videos and pictures (educative video) (Canadian Task Force Classification III).
  
  
  METHODS
  Third Xiangya Hospital of Central South University, Changsha, China.
  
  
  METHODS
  A 39-year-old woman diagnosed with IUA.
  
  
  METHODS
  HA using the ploughing technique with cold scissors, followed by adjunct postoperative treatment with a follow up hysteroscopy 2 months later.
  
  
  RESULTS
  The uterine cavity was successfully reopened, and the scars covering the inner uterine walls were ploughed longitudinally to release the contraction imposed by the scars, as well as to provide a fresh and rich blood-supplied surface for endometrium to grow and cover after the surgery. There were no complications. The follow-up hysteroscopy 2 months later revealed a normal uterine cavity and much improved endometrium, along with restoration of almost normal menses.
  
  
  CONCLUSIONS
  HA using the ploughing technique with cold scissors is effective for rebuilding the uterine cavity even for patients with severe IUA. Its advantages merit further study.
authors.affiliation: Department of Gynecology, Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
authors.forename: Aiqian
authors.initials: A
authors.lastname: Zhang
authors.affiliation: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX.
authors.forename: Grace
authors.initials: G
authors.lastname: Jamail
authors.affiliation: Department of Gynecology, Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
authors.forename: Min
authors.initials: M
authors.lastname: Xue
authors.affiliation: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX. Electronic address: xiaoming@bcm.edu.
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Guan
authors.affiliation: Department of Gynecology, Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
authors.forename: Songshu
authors.initials: S
authors.lastname: Xiao
authors.affiliation: Department of Gynecology, Third Xiangya Hospital of Central South University, Changsha, Hunan, China. Electronic address: xudabao@hotmail.com.
authors.forename: Dabao
authors.initials: D
authors.lastname: Xu
mesh_terms: D000328:Adult; D002681:China; D004210:Dissection / Q000009:adverse effects; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000295:instrumentation* / Q000379:methods*; D000267:Tissue Adhesions / Q000601:surgery*; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000601:surgery*
keywords: Hysteroscopy; Intrauterine adhesiolysis; Intrauterine adhesions; Postoperative management; Thermal injury