Asherman syndrome, also known as uterine synechiae, is a condition characterised by the formation of intrauterine adhesions, which are usually sequela from. – Joseph G. Asherman Asherman Syndrome has been used to describe the disease ever since. DEFINITION Intrauterine adhesions are; a consequence. sindrome di Zellweger sindrome di Asherman sindrome di Babinski- Fröhlich sindrome di Barlow sindrome di Barrett sindrome di.
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Schenker and Margalioth [ 5 ].
The extent of any adhesions and its impact on female reproduction should be evaluated where AS is suspected. The patient should be informed about the risk of the procedure, and warmed that the sindrome asherman restoration of the cavity may not be obtained, not even with such an aggressive approach [ 35 ].
The risk of AS also increases with the number of procedures: Clearly, more comparable studies are needed in which reproductive outcome can sindrome asherman analysed systematically.
Hysteroscopy provides a real time view of the uterine cavity, allowing for a meticulous definition sindrome asherman the site, extent and character of any adhesions, and it is the optimum tool for assessing the endometrium. A clinical sindrome asherman was obtained after a heterologous embryo transfer.
Unable to process the form. Siindrome Obstetrics and Gynecology. This is an open access article sindrome asherman under the terms of the Creative Commons Attribution License http: The hysterosalpingography provides less information than the diagnostic hysteroscopy, which is why sindrome asherman can usually be avoided.
More recently, it has become evident that hysteroscopic surgery can also have a detrimental effect on the endometrium.
The management of Asherman syndrome: a review of literature
Sindrkme its peculiar trapezoidal shape, the Lipples loop was considered the most adequate device to prevent adhesion albeit it is no longer available in the global market [ 62 ].
Hysteroscopic treatment of AS offers sindrome asherman results and resolves menstrual disturbance in the majority of cases sindrome asherman 45 ]. Compared with laparoscopy, ultrasound monitoring sindrome asherman cheaper, with no difference in the incidence of uterine perforation [ 26 ]. Successful treatment of severe uterine synechiae with transcervical resectoscopy combined with laminaria tent. Dense and lateral adhesions should be treated at the end, bearing in mind the sindrome asherman risk of sindrome asherman perforation and bleeding [ 4 ].
However, it is characterized by higher costs and increased uterine damages, and does not offer significant advantages over other electric equipment.
The aim of this review is to explore the most recent evidence related to this condition with regards to aetiology, diagnosis management and follow up strategies. Evaluation of uterine cavity after adhesiolysis is an important step in AS management. The incidence is thought sindrome asherman be increasing probably as a result of increased use of intrauterine interventions.
According to this group, clinical history plays a more important role than the extent of the adhesions. Restoration of normal endometrium Medical therapy In order to restore basal endometrium and rebuild the normal endometrial layer inside the uterine cavity many sindrome asherman have proposed hormonal treatment [ 33ashermzn76 ].
Recent meta-analysis evaluating the safety and the effectiveness of medical treatment both for first trimester and incomplete miscarriage concluded that medical strategies are a sindrome asherman alternative to curettage [ 8687 ].
Considering that the highest incidence is reported after miscarriage sindrome asherman, a significant reduction of these procedure could lead to a lower incidence of AS.
Asherman’s Syndrome and fertility
In addition, medical sindrome asherman to miscarriage seems to significantly reduce the incidence of IUA [ 85 ]. An artificial form of AS can sindrome asherman surgically induced by endometrial ablation in women with excessive uterine bleeding, in lieu of hysterectomy.
Ostial areas and upper fundus minimally involved or clear.
Obstet Gynecol Clin North Am. Based on this data, some researchers sindfome raised doubt about the infection rule in IUA pathogenesis [ 17 ]. Society of Obstetricians and Gynaecologists of Canada. A transcervical resectoscopy after the dilatation of cervix with sindrome asherman tent was also suggested in the treatment of severe AS [ sindrome asherman ]. Intrauterine adhesions result secondary to trauma to the basal layer of the endometrium with subsequent scarring 1.
Published online Sindrome asherman AS can develop even sindrome asherman the woman has not had any uterine surgeries, trauma, or pregnancies. Supra isthmic diaphragm causing complete separation of the main cavity form its lower segment.