Hysteroscopic treatment of endometrial adhesions (Asherman’s syndrome)
Endometrial adhesions (Asherman’s syndrome) are scar tissue inside the uterine cavity caused by endometrial abrasion or endometrial inflammation (endometritis).
These adhesions cause infertility, repeated miscarriages, ectopic pregnancy or amenorrhea.
A special interventional hysteroscope (resectoscope) is used which uses electrical energy to perform dissect adhesions. If adhesions are thin, surgery could be done using hysteroscopic scissors. Following lysis of adhesions, it is possible to place an intrauterine device for a few months in adhesion recurrence.
Prior to surgery,the surgeon has to proceed to a careful preoperative evaluation by means of transvaginal ultrasound scan as well as hysterosalpingography to establish the extent of adhesions in order to avoid possible complications (uterine perforation) at the time of surgery. The condition is immediately treated and the patient is discharged after 1-2 hours.
The resection of intrauterine adhesions increases the woman’s fertility.