Abstract
ObjectiveTo assess the efficacy of hysteroscopic surgery in infertile women presenting with uterine synechiae.DesignA retrospctive audit of 52 patients.SettingUniversity hospital.SubjectsA total of 52 patients presenting with intrauterine adhesions in a context of reproductive dysfunction: infertility, 29 cases; recurrent abortions, 23 cases.InterventionsOperative hysteroscopy including section with scissors, lesion division, and electrosection.ResultsThere were 34 pregnancies in 28 patients, with 24 term deliveries and 10 abortions.ConclusionOperative hysteroscopy should be considered as the primary treatment for patients with intrauterine adhesions. Hysteroscopy allows selectivity, reproducibility with little morbidity, and preserves the surrounding endometrium. After several unsuccessful procedures, abdominal surgery could be proposed.
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