Review Article
Intrauterine Adhesions following Conservative Treatment of Uterine Fibroids
Table 1
Intrauterine synechiae following resectoscopic myomectomy. Second-look hysteroscopy.
| Author | Instrument | Second-look interval | Fibroids | Additional treatment | Adhesions/second-look hysteroscopies | Adhesion rate |
|
Taskin et al. 2000 [9] | monopolar | 14–30 days |
single | no/placebo | 8/22 | 36.36% | Danazol | 7/20 | 35% |
multiple | no/placebo | 6/13 | 46.15% | Danazol | 6/14 | 42.85% |
|
Guida et al. 2004 [11] | bipolar | 3 months |
single* | no/placebo | 8/24 | 33.33% | a–c hyaluronic acid gel | 4/25 | 16% |
|
Yang et al. 2008 [10] |
monopolar* |
1–3 months | single | No | 2/132 | 1.5% | 2, nonapposing | IUD, 1 month | 0/5 | 0% | ≥2 apposing | IUD, 1 month | 7/9 | 78% | ≥2 apposing | early lysis 1-2 weeks | 0/7 | 0% |
| Touboul et al. 2009 [13] | bipolar | 2 months | single* | No | 4/53 | 7.5% |
|
Roy et al. 2010 [14] | monopolar | 6 weeks | single | estradiol valerate (6 weeks) antibiotics (5 days) | 2/186 | 1.07% |
| Total | 54/510 | 10.58% |
|
|
*Extrapolated, but not clearly stated on the original paper.
|