Fertility and Sterility
Volume 90, Issue 2 , Pages 409-414 , August 2008

Postoperative adhesiolysis therapy for intrauterine adhesions (Asherman's syndrome)

  • James K. Robinson, M.D., M.S.

      Affiliations

    • Minimally Invasive Gynecologic Surgery Center, Newton-Wellesley Hospital, Newton, Massachusetts
    • Corresponding Author InformationReprint requests: James K. Robinson, M.D., M.S., Assistant Professor, Department of Obstetrics and Gynecology, Medical Faculty Associates, George Washington University, 2150 Pennsylvania Avenue, NW, Washington, DC 20037 (FAX: 202-741-2550).
  • ,
  • Liza M. Swedarsky Colimon, M.D.

      Affiliations

    • Brigham and Women's Hospital, Department of Obstetrics and Gynecology, Boston, Massachusetts
  • ,
  • Keith B. Isaacson, M.D.

      Affiliations

    • Minimally Invasive Gynecologic Surgery Center, Newton-Wellesley Hospital, Newton, Massachusetts

Received 4 November 2006 ,Revised 10 April 2007 ,Accepted 10 April 2007.

References 

  1. March CM. Intrauterine adhesions. Obstet Gynecol Clin North Am. 1995;22:491–505
  2. Asherman JG. Traumatic intra-uterine adhesions. J Obstet Gynaecol Br Emp. 1950;57:892–896
  3. Asherman JG. Amenorrhea traumatica atretica. J Obstet Gynaecol Br Emp. 1948;55:23–30
  4. Valle RF, Sciarra JJ. Intrauterine adhesions: hysteroscopic diagnosis, classification, treatment, and reproductive outcome. Am J Obstet Gynecol. 1988;158:1459–1470
  5. Orhue AA, Aziken ME, Igbefoh JO. A comparison of two adjunctive treatments for intrauterine adhesions following lysis. Int J Gynaecol Obstet. 2003;82:49–56
  6. Schenker JG. Etiology of and therapeutic approach to synechia uteri. Eur J Obstet Gynecol Reprod Biol. 1996;65:109–113
  7. Klein SM, Garcia CR. Asherman's syndrome: a critique and current review. Fertil Steril. 1973;24:722–735
  8. Schenker JG, Margalioth EJ. Intrauterine adhesions: an updated appraisal. Fertil Steril. 1982;37:593–610
  9. Capella-Allouc S, Morsad F, Rongieres-Bertrand C, Taylor S, Fernandez H. Hysteroscopic treatment of severe Asherman's syndrome and subsequent fertility. Hum Reprod. 1999;14:1230–1233
  10. March CM, Israel R, March AD. Hysteroscopic management of intrauterine adhesions. Am J Obstet Gynecol. 1978;130:653–657
  11. American Fertility Society. The American Fertility Society classification of adnexal adhesions, distal tubal occlusions, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomolies, and intrauterine adhesions. Fertil Steril. 1988;49:944–955
  12. Wamsteker K, DeBlok S. Diagnostic hysteroscopy: techniques and documentation. In: Endoscopic surgery for gynaecologists. London, UK: WB Saunders; 1993;
  13. Friedler S, Margalioth EJ, Kafka I, Yaffe H. Incidence of post-abortion intra-uterine adhesions evaluated by hysteroscopy—a prospective study. Hum Reprod. 1993;8:442–444
  14. Romer T. Post-abortion-hysteroscopy—a method for early diagnosis of congenital and acquired intrauterine causes of abortions. Eur J Obstet Gynecol Reprod Biol. 1994;57:171–173
  15. Lurie S, Appelman Z, Katz Z. Curettage after midtrimester termination of pregnancy. Is it necessary?. J Reprod Med. 1991;36:786–788
  16. Westendorp IC, Ankum WM, Mol BW, Vonk J. Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeat curettage for incomplete abortion. Hum Reprod. 1998;13:3347–3350

 This research was originally presented at the 61st annual American Society for Reproductive Medicine meeting, which was held in Montreal, Canada, in October 2005, and the 34th annual American Association of Gynecologic Laporoscopists (AAGL) meeting, which was held in Chicago in November 2005. It was honored as the Best Society of Reproductive Surgeons (SRS)/AAGL Fellowship Research Paper in 2005. It also received the second place Golden Hysteroscope Award for best hysteroscopic paper at the 34th annual AAGL meeting.

PII: S0015-0282(07)01377-5

doi: 10.1016/j.fertnstert.2007.06.034

Fertility and Sterility
Volume 90, Issue 2 , Pages 409-414 , August 2008