Novel uterine closure technique to prevent intrauterine adhesions

Abstract

The purpose of this video is to describe a novel uterine closure technique to prevent intrauterine adhesions after myomectomy. This is an important topic in the field as intrauterine adhesions can result in infertility, recurrent pregnancy loss, and future pregnancy complications, such as morbidly adherent placenta. In this video, we first discussed the epidemiology and the existing techniques that have been studied regarding the prevention of intrauterine adhesions. We then used an illustration to describe the suturing technique. We concluded with video clips demonstrating the technique from three of our myomectomy cases. This novel intraoperative uterine closure technique is one method that can potentially reduce the risk of intrauterine adhesion formation.