About: Should hysteroscopy be provided for patients who have undergone instrumental intrauterine intervention after delivery?     Goto   Sponge   NotDistinct   Permalink

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  • We investigated the frequency of pathology, especially intrauterine adhesions, after instrumental evacuation within 24 h of delivery in a prospective observational intervention study on 100 women where a see and treat hysteroscopy was performed after three to four months. There were two possible etiology groups: intrauterine adhesions [classified according by European Society for Gynaecological Endoscopy (ESGE) grades IIV] and residual tissue (classified as minimal and considerable). Adhesions were found in 18% of patients, as follows: ESGE III in 13% and ESGE IIIIV in 5%. Residual tissue was present in 33%, as follows: minimal in 23% and considerable in 10%. There were 6% who had both mild adhesions and minimal residual tissue, while 43% of the women had normal intrauterine findings. Of the women, 32% were symptomatic (spotting, bleeding). Only residual tissue correlated with symptoms (r=0.376; p<0.001). There is a high prevalence of acquired intrauterine pathology (57%) in women who require early instrumental evacuation.
  • We investigated the frequency of pathology, especially intrauterine adhesions, after instrumental evacuation within 24 h of delivery in a prospective observational intervention study on 100 women where a see and treat hysteroscopy was performed after three to four months. There were two possible etiology groups: intrauterine adhesions [classified according by European Society for Gynaecological Endoscopy (ESGE) grades IIV] and residual tissue (classified as minimal and considerable). Adhesions were found in 18% of patients, as follows: ESGE III in 13% and ESGE IIIIV in 5%. Residual tissue was present in 33%, as follows: minimal in 23% and considerable in 10%. There were 6% who had both mild adhesions and minimal residual tissue, while 43% of the women had normal intrauterine findings. Of the women, 32% were symptomatic (spotting, bleeding). Only residual tissue correlated with symptoms (r=0.376; p<0.001). There is a high prevalence of acquired intrauterine pathology (57%) in women who require early instrumental evacuation. (en)
Title
  • Should hysteroscopy be provided for patients who have undergone instrumental intrauterine intervention after delivery?
  • Should hysteroscopy be provided for patients who have undergone instrumental intrauterine intervention after delivery? (en)
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  • Should hysteroscopy be provided for patients who have undergone instrumental intrauterine intervention after delivery?
  • Should hysteroscopy be provided for patients who have undergone instrumental intrauterine intervention after delivery? (en)
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  • RIV/00064165:_____/12:12450!RIV13-MZ0-00064165
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(NS10576)
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 167762
http://linked.open...ai/riv/idVysledku
  • RIV/00064165:_____/12:12450
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Hysteroscopy; intrauterine adhesion; residual trophoblastic tissue; postpartum bleeding; intrauterine intervention; residual trophoblastic tissue; ashermans-syndrome; placenta; abortion; removal (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • DK - Dánské království
http://linked.open...ontrolniKodProRIV
  • [CFBF994274D7]
http://linked.open...i/riv/nazevZdroje
  • Acta Obstetricia et Gynecologica Scandinavica
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 91
http://linked.open...iv/tvurceVysledku
  • Germanová, Anna
  • Švabík, Kamil
  • Žižka, Zdeněk
  • Kužel, David
  • Hrazdirová, Lucie
http://linked.open...ain/vavai/riv/wos
  • 000301712700017
issn
  • 0001-6349
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