ACTA SCIENTIFIC CLINICAL CASE REPORTS

Case Report Volume 5 Issue 5

Prevention of Postoperative Adhesion Reformation by Intermittent Intrauterine Balloon Therapy

Fadlallah Aboubekr, Kerras Batoul*, Djeloul-daouadji Soumia, Bedjaoui Hind and Moumen Rabha

Hospital Center of Obstetric Gynecology, Ben Attou-Mira , Sidi Bel Abbes, Algeria

*Corresponding Author: Kerras Batoul, Hospital Center of Obstetric Gynecology, Ben Attou-Mira , Sidi Bel Abbes, Algeria.

Received: March 14, 2024; Published: April 05, 2024

Abstract

Objective: Objectify the efficacy of intermittent intrauterine balloon dilatation in the prevention of adhesion reformation.

Design: Single group interventional study (pre-post study).

Setting: Hospital center of obstetric gynecology Ben Attou-Mira , Sidi Bel Abbes.

Population: Thirty-five patients with mild to severe (European Society for Gynaecological Endoscopy Grade ≥I) intrauterine adhesions who underwent hysteroscopic adhesiolysis.

Methods: The group received intrauterine balloon dilatation therapy once every week and 04 weeks after surgery. All patients underwent follow-up hysteroscopy at 8 weeks postoperatively. Main Outcome Measures: The adhesion reformation rate.

Results: A total of 30 patients successfully completed the study protocol. According to hysteroscopic evaluation at the 8th week, the overall adhesion reformation rate was significantly low in our study group (26.7%).

Conclusions: Postoperative intermittent intrauterine balloon dilatation therapy can significantly reduce postoperative adhesion reformation. Randomized controls trials are needed to confirm our results

Keywords: Intrauterine Adhesions (IUAs); Intrauterine Contraceptive Device (IUD)

References

  1. Malhotra N., et al. “Changes in endometrial receptivity in women with Asherman’s syndrome undergoing hysteroscopic adhesiolysis”. Archives of Gynecology and Obstetrics2 (2012): 525-530.
  2. Schenker JG. “Etiology of and therapeutic approach to synechia uteri”. European Journal of Obstetrics and Gynecology and Reproductive Biology 1 (1996): 109-113.
  3. Conforti A., et al. “The management of Asherman syndrome: a review of literature”. Reproductive Biology and Endocrinology 11 (2013): 118.
  4. March CM. “Management of Asherman’s syndrome”. Reproductive BioMedicine Online 23 (2011): 63-76.
  5. Xiao-Na Lin., et al. “Randomized, controlled trial comparing the efficacy of intrauterine balloon and intrauterine contraceptive device in the prevention of adhesion reformation after hysteroscopic adhesiolysis”.
  6. Xiao S., et al. “Prevention of intrauterine adhesion with auto-crosslinked hyaluronic acid gel: a prospective, randomized, controlled clinical study”. Zhonghua Fu Chan Ke Za Zhi1 (2015): 32-36.
  7. Wu F., et al. “Treatment strategies for intrauterine adhesion: focus on the exosomes and hydrogels”. Frontiers in Bioengineering and Biotechnology 11 (2023): 1264006.
  8. Saravelos SH and Li TC. “Ultrasound guided treatment of intrauterine adhesions in the outpatient setting”. Ultrasound in Obstetrics and Gynecology 50 (2017): 278-280.
  9. Saravelos SH and Li TC. “Intrauterine balloon therapy: a novel ultrasound guided treatment for intrauterine adhesions”. Gynecological Surgery (2016).
  10. Wamsteker K and De Block S. “Diagnostic hysteroscopy: technique and documentation”. In: Sutton C, Diamond M, eds. Endoscopic Surgery for Gynecologists. London: WB Saunders; (1998): 511-24.
  11. Yang L., et al. “Cold scissors versus electrosurgery for hysteroscopic adhesiolysis: A meta-analysis”. Medicine (Baltimore)17 (2021).
  12. Robinson JK., et al. “Postoperative adhesiolysis therapy for intrauterine adhesions (Asherman’s syndrome)”. Fertility Sterility 90 (2008): 409-414.
  13. Higham JM., et al. “Assessment of menstrual blood loss using a pictorial chart”. British Journal of Obstetrics and Gynaecology 97 (1990): 734-739.
  14. Breivik H., et al. “Assessment of pain”. British Journal of Anaesthesia 101 (2008): 17-24.
  15. Yasmin H., et al. “Hystroscopic management of Asherman’s syndrome”. Journal of the Pakistan Medical Association 57 (2007): 553-555.
  16. Amer MI., et al. “Human amnion as a temporary biologic barrier after hysteroscopic lysis of severe intrauterine adhesions: pilot study”. Journal of Minimally Invasive Gynecology 17 (2010): 605-611.

Citation

Citation: Kerras Batoul., et al. “Prevention of Postoperative Adhesion Reformation by Intermittent Intrauterine Balloon Therapy".Acta Scientific Clinical Case Reports 5.5 (2024): 10-13.

Copyright

Copyright: © 2024 Kerras Batoul.,, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor1.014

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