Experience of application anti adgesivebarrier in the treatment of patients with Asherman’s syndrome

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Relevance. Asherman’s syndrome is one of the most difficult problems in gynecologic practice, because in addition to complex clinical picture, which includes secondary amenorrhea and infertility is a significant difficulty in diagnosis and treatment. The purpose was to improve the results of treatment of Аsherman’s syndrome after conducting hysteroresectoscope adhesiolysis using anti adhesive barrier “Antiadgezin”.

Materials and methods. The study included 36 patients with peritoneal process in the uterus of varying severity. Group I consisted of 20 women who are in the postoperative period in the uterine cavity was entered “Antiadgezin”, group II — 16 women with similar pathology without introducing anti adgesive barriers.

Results. All women 3 months after adhesiolysis was performed a control hysteroscopy. The presence of adhesions was diagnosed in 2 (10%) patients in the first group, while adhesions were isolated delicate and easily destroyed by the sheath of a hysteroscope. In group II adhesions had recurrences in 5 (31,3%) patients (p = 0,038), and one patient was visualized “tunnel” — uterus, which is extremely unfavorable course of disease.

Conclusion. Treatment of Asherman’s syndrome, as extreme degree of intrauterine adhesions, requires a comprehensive approach, which is based on prevention of recurrence of the formation of adhesions after surgical interventions. Research on application anti adgesivebarriers will continue, as intrauterine their use on the example of antiadgezin showed good results.

作者简介

Tatyana Makarenko

Krasnoyarsk state medical University named after Professor V.F. Voyno-Yasenetsky

编辑信件的主要联系方式.
Email: makarenko7777@yandex.ru
MD, docent, head of Department of operative gynecology of postgraduate studies 俄罗斯联邦

Daria Nikiforova

Krasnoyarsk state medical University named after Professor V.F. Voyno-Yasenetsky

Email: dashsemch@mail.ru
postgraduate student of operative gynecology of postgraduate studies 俄罗斯联邦

Inga Ul’yanova

Krasnoyarsk state medical University named after Professor V.F. Voyno-Yasenetsky

Email: inga_ulyanova@mail.ru
PhD, associate docent in the Department of operative gynecology of postgraduate studies 俄罗斯联邦

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