Hysteroscopic findings after laparoscopic and open myomectomy with or without uterine cavity breach: historical cohort study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F22%3A10434203" target="_blank" >RIV/00064165:_____/22:10434203 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/22:10434203

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=CIFvEG-J-4" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=CIFvEG-J-4</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/13645706.2021.1986542" target="_blank" >10.1080/13645706.2021.1986542</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Hysteroscopic findings after laparoscopic and open myomectomy with or without uterine cavity breach: historical cohort study

Popis výsledku v původním jazyce

Introduction: The aim of this study was to evaluate hysteroscopic findings after laparoscopic and laparotomic myomectomy with a focus on the presence of postoperative intrauterine adhesions in groups of patients with and without perioperative uterine cavity breach (UCB). Material and methods: This is a historical cohort study. Our database was searched to identify patients with UCB during myomectomy and matched the same number of patients after myomectomy without UCB to create a control group. All relevant data were retrieved from our medical records. In both groups, the results of follow-up hysteroscopy were analyzed. Results: Low prevalence of intrauterine adhesions after myomectomy was observed in only 3.5% of the 170 patients in our samples. No significant difference in the occurrence of synechiae between the patients with and without UCB was found (2 vs. 4, RR 0.5, 95% CI 0.1-2.7, p = .341), nor was the difference in other hysteroscopic findings. Follow-up hysteroscopy was performed with slender optics and expandable casing system without need of any anesthesia in 87.1% of cases. Conclusions: According to our findings, the prevalence of post-myomectomy intrauterine adhesions after myomectomy is low. Our study did not demonstrate that UCB during myomectomy is a risk factor for the formation of intrauterine synechiae.

Název v anglickém jazyce

Hysteroscopic findings after laparoscopic and open myomectomy with or without uterine cavity breach: historical cohort study

Popis výsledku anglicky

Introduction: The aim of this study was to evaluate hysteroscopic findings after laparoscopic and laparotomic myomectomy with a focus on the presence of postoperative intrauterine adhesions in groups of patients with and without perioperative uterine cavity breach (UCB). Material and methods: This is a historical cohort study. Our database was searched to identify patients with UCB during myomectomy and matched the same number of patients after myomectomy without UCB to create a control group. All relevant data were retrieved from our medical records. In both groups, the results of follow-up hysteroscopy were analyzed. Results: Low prevalence of intrauterine adhesions after myomectomy was observed in only 3.5% of the 170 patients in our samples. No significant difference in the occurrence of synechiae between the patients with and without UCB was found (2 vs. 4, RR 0.5, 95% CI 0.1-2.7, p = .341), nor was the difference in other hysteroscopic findings. Follow-up hysteroscopy was performed with slender optics and expandable casing system without need of any anesthesia in 87.1% of cases. Conclusions: According to our findings, the prevalence of post-myomectomy intrauterine adhesions after myomectomy is low. Our study did not demonstrate that UCB during myomectomy is a risk factor for the formation of intrauterine synechiae.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Minimally Invasive Therapy and Allied Technologies

ISSN

1364-5706

e-ISSN

1365-2931

Svazek periodika

31

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

NO - Norské království

Počet stran výsledku

8

Strana od-do

789-796

Kód UT WoS článku

000709216100001

EID výsledku v databázi Scopus

2-s2.0-85117277270