علاج متلازمة أشرمان (الالتصاقات داخل الرحم)

References

• Hysteroscopic lysis of adhesions by direct vision and a tool for adhesiolysis is the recommended approach for symptomatic IUAs.
• Mechanical division of adhesions by scissors and needle are described as modes of surgical treatment.
• Indirect evidence exists to avoid electrosurgery during adhesiolysis owing to the potential risk for further endometrial damage.
• Monopolar and bipolar electrosurgical instruments and the Nd-YAG laser have been described as techniques used to lyse adhesions under direct vision, with the advantages of precise cutting and good hemostasis.
• The primary objective of any intervention is to restore the normal volume and shape of the endometrial cavity and cervical canal and to facilitate communication between the cavity and both the cervical canal and fallopian tubes.
• This will allow both normal menstrual flow and adequate sperm transportation for fertilization and implantation to occur.