Surgical Treatment of Severe Asherman's Syndrome When Other Techniques Are Not Feasible

Asherman's syndrome involves intrauterine adhesions (IUAs) that can range in severity. In the most severe presentations, extensive adhesion formation may make less invasive approaches impractical or impossible, requiring a distinct operative strategy.

Clinical Scenario

This protocol addresses severe intrauterine adhesions in patients for whom other techniques are not practical or possible. It represents the traditional surgical approach reserved specifically for these refractory cases.

Treatment Approach — Partial Overview

Management involves an open operative procedure directed at the adhesions themselves. This is a traditional technique that has largely been supplanted by other methods in routine practice, but remains the indicated approach in selected severe cases.

The complete evidence-based regimen — full procedural detail, decision criteria, and clinical pathway — is available in the structured protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.jmig.2016.11.008

Laparotomy, hysterotomy, and subsequent blunt dissection through adhesions using a finger or curette has been traditional treatment for severe IUAs.
In contemporary practice, this technique is rarely used and is reserved only for severe cases in which other techniques are not practical or possible.

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