A Novel Ultrasound‐Guided Technique for Hysteroscopic Adhesiolysis in High‐Risk Patients. (12th September 2018)

• Record Type: Journal Article
• Authors: Kriseman, Maya; Schutt, Amy; Appleton, Jewel; Pillai, Anil; George, Verghese; Zarutskie, Paul W.
• Is Part Of: Journal of ultrasound in medicine. Volume 38:Number 5(2019)
• Page Start: 1383
• Page End: 1387
• Publication Date: 2018-09-12
• Subjects: adhesiolysis -- balloon‐aided dilation -- gynecology -- hysteroscopy -- perforation; Ultrasonics in medicine -- Periodicals; Ultrasonics; Ultrasonography; Ultrasonics in medicine; Electronic journals; Periodicals; Periodicals; 616.07543
• DOI: 10.1002/jum.14815
• Languages: English
• ISSNs: 0278-4297

Abstract

Abstract : 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.