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)
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