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Hysteroscopy pp 709-718 | Cite as

Hysteroscopic Treatment of Asherman Syndrome

  • Mark Hans Emanuel
  • Miriam Hanstede
Chapter

Abstract

Diagnostic and operative hysteroscopy have become standards in gynaecologic practice. Many hysteroscopic procedures have replaced old, invasive techniques like dilatation and curettage. Now, as instruments become smaller than before, office hysteroscopy is replacing operating-room procedures. An overview of the different kinds of hysteroscopical techniques to intrauterine adhesiolysis will be presented. The pros and cons of simultaneous imaging guidance will be discussed; however, there is a significant lack of evidence.

The reasons for adjuvant measures and postoperative medical adjuvant treatment will be mentioned, and outcomes reported in the literature will be discussed and compared with data collected after treatment and follow-up of referred patients after national concentration of Asherman Syndrome (AS) care in the Netherlands.

Keywords

Intrauterine adhesiolysis Asherman syndrome Diagnostic and operative hysteroscopy Fertility Sterility Surgical complications 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Gynaecology and Reproductive MedicineUniversity Medical Center UtrechtUtrechtThe Netherlands
  2. 2.University Hospital GhentGhentBelgium
  3. 3.Department of Obstetrics and Gynaecology, Spaarne Gasthuis HoofddorpHoofddorpThe Netherlands

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