Hysteroscopic findings after laparoscopic and open myomectomy with or without uterine cavity breach: historical cohort study
| Autor: | Adela Richtarova, Michal Mara, Zdenka Lisa, Barbora Boudova, Z. Zizka, Kristyna Hlinecka |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Tissue Adhesions Hysteroscopy Cohort Studies Pregnancy Uterine Myomectomy medicine Humans Risk factor Uterine Diseases Leiomyoma medicine.diagnostic_test business.industry Medical record Perioperative medicine.disease Open myomectomy Surgery medicine.anatomical_structure Uterine Neoplasms Female Laparoscopy Uterine cavity business Historical Cohort |
| Zdroj: | Minimally Invasive Therapy & Allied Technologies. 31:789-796 |
| ISSN: | 1365-2931 1364-5706 |
| DOI: | 10.1080/13645706.2021.1986542 |
| Popis: | Introduction The aim of this study was to evaluate hysteroscopic findings after laparoscopic and laparotomic myomectomy with a focus on the presence of postoperative intrauterine adhesions in groups of patients with and without perioperative uterine cavity breach (UCB). Material and methods This is a historical cohort study. Our database was searched to identify patients with UCB during myomectomy and matched the same number of patients after myomectomy without UCB to create a control group. All relevant data were retrieved from our medical records. In both groups, the results of follow-up hysteroscopy were analyzed. Results Low prevalence of intrauterine adhesions after myomectomy was observed in only 3.5% of the 170 patients in our samples. No significant difference in the occurrence of synechiae between the patients with and without UCB was found (2 vs. 4, RR 0.5, 95% CI 0.1-2.7, p = .341), nor was the difference in other hysteroscopic findings. Follow-up hysteroscopy was performed with slender optics and expandable casing system without need of any anesthesia in 87.1% of cases. Conclusions According to our findings, the prevalence of post-myomectomy intrauterine adhesions after myomectomy is low. Our study did not demonstrate that UCB during myomectomy is a risk factor for the formation of intrauterine synechiae. |
| Databáze: | OpenAIRE |
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