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A Novel Ultrasound‐Guided Technique for Hysteroscopic Adhesiolysis in High‐Risk Patients

Title: A Novel Ultrasound‐Guided Technique for Hysteroscopic Adhesiolysis in High‐Risk Patients
Authors: Kriseman, Maya; Schutt, Amy; Appleton, Jewel; Pillai, Anil; George, Verghese; Zarutskie, Paul W.
Source: Journal of Ultrasound in Medicine ; volume 38, issue 5, page 1383-1387 ; ISSN 0278-4297 1550-9613
Publisher Information: Wiley
Publication Year: 2018
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Hysteroscopy is a common gynecologic surgical procedure. Certain diagnoses, notably intrauterine adhesions and cervical stenosis, make hysteroscopy more complicated because of an increased likelihood of complications. Three patients, 1 with cervical stenosis and 2 with Asherman syndrome, underwent ultrasound (US)‐guided adhesiolysis. Access to the uterine cavity was obtained by either direct balloon‐aided dilation or the US‐guided Seldinger technique, followed by balloon‐aided dilation to enter the endometrial cavity and disrupt intrauterine/intracervical adhesions. In this case series, we describe a novel approach of using US‐guided balloon dilation to safely and effectively treat intrauterine adhesions and to decrease the risk of perforation.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/jum.14815
Availability: https://doi.org/10.1002/jum.14815; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fjum.14815; https://onlinelibrary.wiley.com/doi/pdf/10.1002/jum.14815; https://onlinelibrary.wiley.com/doi/full-xml/10.1002/jum.14815
Rights: http://onlinelibrary.wiley.com/termsAndConditions#vor
Accession Number: edsbas.C0E3F951
Database: BASE