Are synechiae a complication of laparotomic myomectomy?

REPRODUCTIVE BIOMEDICINE ONLINE

卷:36

Article

Capmas, Perrine^1,2,3  Pourcelot, Anne-Gaelle¹  Fernandez, Herve^1,2,3 

[1] GHU Sud, Hop Bicetre, AP HP, Serv Gynecol Obstet, F-94276 Le Kremlin Bicetre, France

[2] INSERM, Ctr Res Epidemiol & Populat Hlth CESP, U1018, F-94276 Le Kremlin Bicetre, France

[3] Univ Paris Sud, Fac Med, F-94276 Le Kremlin Bicetre, France

关键词: Fertility;    Intrauterine adhesions;    Laparotomic myomectomy;    Myoma;    Synechiae;   

DOI  :  10.1016/j.rbmo.2018.01.010

来源: Elsevier

【 摘 要 】

Laparotomic myomectomy is often the only realistic solution for symptomatic women with multiple or large myomas who wish to retain their fertility. The aim of this study was to document the rate of uterine synechiae and their associated risk factors after laparotomic myomectomy. This prospective observational study took place in a teaching hospital from May 2009 to June 2014. It included all women aged 18-45 years who had laparotomic myomectomies (without diagnostic hysteroscopy at the time of surgery) for myomas and a postoperative diagnostic office hysteroscopy 6-8 weeks later. The study included 98 women with a laparotomic myomectomy and a postoperative hysteroscopic follow-up. Women with a laparotomic myomectomy for a subserosal myoma were excluded. The intrauterine adhesion rate after laparotomic myomectomy was 25.51% (25/98); 44% (11/25) of them were complex intrauterine adhesions. Opening the uterine cavity was a major risk factor for these complex adhesions, with an OR of 6.42 (95% CI 1.27 to 32.52). Office hysteroscopy could be carried out after surgery in such cases. (c) 2018 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free