Hysteroscopy pp 719-724 | Cite as

Prevention of Adhesion Reformation After Hysteroscopic Surgery

  • Narendra Malhotra
  • Shally Gupta
  • Rahul Manchanda
  • Jaideep Malhotra
  • Keshav Malhotra
  • Manpreet Sharma
  • Shemi Bansal


Uterine adhesions are significant fertility complications. Intrauterine adhesions are fairly a common finding in cases of oligomenorrhea and amenorrhea, especially in developing countries following various infections and tuberculosis. All efforts for adhesion prevention should be done to have better outcome.

The major strategies for intrauterine adhesion formation prevention are divided into four categories, viz., surgical management, early second look hysteroscopy, barrier agents, and pharmacological therapies. Hysteroscopic surgical strategies include reduction in use of electrosurgery and using cold loop. Early second look hysteroscopy as early as 1 or 2 week after primary hysteroscopy has shown promising result in adhesion prevention. Use of barrier agents like hyaluronic gel and IUCD like lippes loop are other effective strategies for adhesion prevention. Pharmacological interventions like estrogen and progesterone therapy, post-surgery antibiotics, etc. are also useful. Newer novel techniques like platelet-rich plasma and stem cell therapy are other therapies used.


Intrauterine adhesion Prevention strategy Operative hysteroscopy 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Narendra Malhotra
    • 1
  • Shally Gupta
    • 2
  • Rahul Manchanda
    • 5
    • 6
  • Jaideep Malhotra
    • 3
  • Keshav Malhotra
    • 2
  • Manpreet Sharma
    • 4
  • Shemi Bansal
    • 4
  1. 1.Professor, Global Rainbow HealthcareRainbow HospitalAgraIndia
  2. 2.Consultant, Rainbow IVFRainbow HospitalAgraIndia
  3. 3.Proferror, Rainbow IVFRainbow HospitalAgraIndia
  4. 4.Consultant, Global Rainbow HealthcareRainbow HospitalAgraIndia
  5. 5.Consultant, Global Rainbow HealthcareRainbow HospitalAgraIndia
  6. 6.Manchanda’s Endoscopy CenterNew DelhiIndia

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