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J Am Assoc Gynecol Laparosc. 2002 May;9(2):182-5.

Intrauterine adhesions after conservative and surgical management of spontaneous abortion.

Author information

1
Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.

Abstract

STUDY OBJECTIVE:

To determine the frequency of intrauterine adhesions (IUA) after conservative management, medical evacuation, and surgical evacuation for spontaneous abortion.

DESIGN:

Prospective follow-up study (Canadian Task Force classification II-2).

SETTING:

Gynecology unit in a teaching hospital.

PATIENTS:

Eighty-two women who had been treated with conservative management, medical evacuation, or surgical evacuation of retained products of conception after spontaneous abortions in a randomized, controlled trial.

MEASUREMENTS AND MAIN RESULTS:

Hysteroscopic diagnosis of IUA 6 months after initial treatment was the primary outcome measure. No cases of IUA were found in patients managed conservatively or by medical evacuation, whereas two cases (7.7%) of filmy IUA were detected in those managed by surgical evacuation. There was no statistical significant difference in the rate of self-reported reduced menstrual flow 6 months after initial treatment by any method.

CONCLUSION:

The prevalence of IUA was low after each modality of treatment for spontaneous abortion. Conservative management and medical evacuation are both acceptable alternatives to standard surgical evacuation.

PMID:
11960045
[Indexed for MEDLINE]
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