Silicone Plate for the Prevention of Postoperative Adhesions in Patients with Asherman Syndrome
Purpose. Re-adhesion rates following hysteroscopic adhesiolysis have remained high. Accordingly, we present a case involving temporary placement of an intrauterine silicone plate to prevent re-adhesions following hysteroscopic adhesiolysis in a 36-year-old woman with Asherman syndrome. Methods. Afte...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/5420837 |
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| author | Maho Miyagi Keiko Mekaru Sugiko Oishi Chiaki Urasoe Kozue Akamine Yoichi Aoki |
| author_facet | Maho Miyagi Keiko Mekaru Sugiko Oishi Chiaki Urasoe Kozue Akamine Yoichi Aoki |
| author_sort | Maho Miyagi |
| collection | DOAJ |
| description | Purpose. Re-adhesion rates following hysteroscopic adhesiolysis have remained high. Accordingly, we present a case involving temporary placement of an intrauterine silicone plate to prevent re-adhesions following hysteroscopic adhesiolysis in a 36-year-old woman with Asherman syndrome. Methods. After hysteroscopic adhesiolysis, a silicone plate molded to the uterine cavity’s shape was inserted into the uterine cavity and left in place for 1 month. Results. The patient had a history of endometrial curettage for endometrial polyps. After the procedure, she developed amenorrhea and experienced infertility for 5 years despite four cycles of in vitro fertilization and embryo transfer. Following admission to our hospital, hysteroscopic examination showed a wide area of intrauterine adhesions for which hysteroscopic adhesiolysis and silicone plate insertion were performed. The silicone plate was removed after 1 month. No intrauterine adhesions were observed during the subsequent hysteroscopic examination. After a thawed embryo transfer, the patient became pregnant and delivered a healthy baby. Conclusions. A silicon plate may be considered a useful tool for preventing re-adhesion following hysteroscopic adhesiolysis without serious complications. |
| format | Article |
| id | doaj-art-450fed45dfdd41b88cee508144ecbd50 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-450fed45dfdd41b88cee508144ecbd502025-02-03T05:51:19ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/54208375420837Silicone Plate for the Prevention of Postoperative Adhesions in Patients with Asherman SyndromeMaho Miyagi0Keiko Mekaru1Sugiko Oishi2Chiaki Urasoe3Kozue Akamine4Yoichi Aoki5Department of Obstetrics and Gynaecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynaecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynaecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynaecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynaecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynaecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanPurpose. Re-adhesion rates following hysteroscopic adhesiolysis have remained high. Accordingly, we present a case involving temporary placement of an intrauterine silicone plate to prevent re-adhesions following hysteroscopic adhesiolysis in a 36-year-old woman with Asherman syndrome. Methods. After hysteroscopic adhesiolysis, a silicone plate molded to the uterine cavity’s shape was inserted into the uterine cavity and left in place for 1 month. Results. The patient had a history of endometrial curettage for endometrial polyps. After the procedure, she developed amenorrhea and experienced infertility for 5 years despite four cycles of in vitro fertilization and embryo transfer. Following admission to our hospital, hysteroscopic examination showed a wide area of intrauterine adhesions for which hysteroscopic adhesiolysis and silicone plate insertion were performed. The silicone plate was removed after 1 month. No intrauterine adhesions were observed during the subsequent hysteroscopic examination. After a thawed embryo transfer, the patient became pregnant and delivered a healthy baby. Conclusions. A silicon plate may be considered a useful tool for preventing re-adhesion following hysteroscopic adhesiolysis without serious complications.http://dx.doi.org/10.1155/2019/5420837 |
| spellingShingle | Maho Miyagi Keiko Mekaru Sugiko Oishi Chiaki Urasoe Kozue Akamine Yoichi Aoki Silicone Plate for the Prevention of Postoperative Adhesions in Patients with Asherman Syndrome Case Reports in Obstetrics and Gynecology |
| title | Silicone Plate for the Prevention of Postoperative Adhesions in Patients with Asherman Syndrome |
| title_full | Silicone Plate for the Prevention of Postoperative Adhesions in Patients with Asherman Syndrome |
| title_fullStr | Silicone Plate for the Prevention of Postoperative Adhesions in Patients with Asherman Syndrome |
| title_full_unstemmed | Silicone Plate for the Prevention of Postoperative Adhesions in Patients with Asherman Syndrome |
| title_short | Silicone Plate for the Prevention of Postoperative Adhesions in Patients with Asherman Syndrome |
| title_sort | silicone plate for the prevention of postoperative adhesions in patients with asherman syndrome |
| url | http://dx.doi.org/10.1155/2019/5420837 |
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