Prevention of de novo adhesion formation in patients with Asherman's syndrome.
| Autor: | BarboraBoudová Barbora, Lisá Zdeňka, Richtárová Adéla, Kužel D, MichalMára Michal |
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| Jazyk: | angličtina |
| Zdroj: | Ceska gynekologie [Ceska Gynekol] 2021; Vol. 86 (4), pp. 273-278. |
| DOI: | 10.48095/cccg2021273 |
| Abstrakt: | Objective: To summarize recent data and knowledge of secondary prevention of the recurrence of intrauterine adhesions in patients with Ashermans syndrome. Methods: Analysis of literature evidence and clinical experience of the authors. Results: Ashermans syndrome is iatrogenic disease with problematic therapy. One of the basic issues is a need for repeated surgical interventions since the recurrence of adhesions is very frequent. Secondary prevention is a crucial factor for successful therapy in these patients. The methods applied include second--look hysteroscopy, hormonal treatment and different types of barriers. To compare their efficacy is difficult and the results of meta-analysis are contradictory. Conclusion: There are many different possibilities of secondary prevention of the recurrence of intrauterine adhesions; unfortunately, none of them is perfect. The usage of solid or semi-solid barriers in combination with the support of endometrium regeneration with hormonal therapy seems most reasonable. |
| Databáze: | MEDLINE |
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