Publications by authors named "Miriam M F Hanstede"

Purpose: The purpose of the study was to investigate if adjuvant hormones after successful adhesiolysis lead to a reduction in spontaneous recurrence of adhesions and influence reproductive outcomes.

Methods: A single-blind randomized controlled trial comparing administration of oral estrogen (the usual care group) with not giving estrogen (no estrogen) in women after successful adhesiolysis for Asherman syndrome. Women were included between September 2013 and February 2017, with a follow-up of 3 years to monitor recurrences and reproductive outcomes.

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Objectives: Transcervical resection of myoma (TCRM) is a widely implemented treatment for submucous fibroids. The aim of this study is to evaluate the effect of TCRM on menstrual bleeding, fibroid related symptoms and quality of life and hemoglobin (Hb) levels.

Study Design: A prospective cohort study was conducted in three teaching hospitals and two academic hospitals in the Netherlands.

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Article Synopsis
  • The study investigated reproductive outcomes in women with Asherman syndrome (AS) after surgical treatment over a 2-year follow-up period.
  • It involved 500 women and utilized hysteroscopic adhesiolysis, revealing a live birth rate of 67.4% and a miscarriage rate of 33% after surgery.
  • Key factors affecting successful live births included younger age, the type of previous procedure leading to AS, and no prior miscarriages following surgery.
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Objective: To study the success rate of hysteroscopic adhesiolysis and the spontaneous recurrence rate of intrauterine adhesions (IUAs) in patients with Asherman syndrome.

Design: Cohort study.

Setting: University-affiliated hospitals.

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Study Objective: To evaluate our initial experience with hysteroscopic morcellation for removal of placental remnants.

Design: Retrospective case series (Canadian Task Force classification II-3).

Setting: University hospital and 2 teaching hospitals.

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Objective: To provide descriptive statistics on hysterectomy for benign gynecological conditions in the Netherlands and to analyze regional and temporal variations in hysterectomy rates and surgical routes.

Design: Retrospective cohort study.

Setting: Dutch hospitals.

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Objective: To determine whether surgical volume influences efficiency of hysteroscopic myomectomy as a treatment for uterine fibroids.

Study Design: This retrospective cross-sectional study performed at a university teaching hospital included all patients who underwent hysteroscopic myomectomy between 2001 and 2005 by a faculty surgeon. We used 3 outcomes as measures of efficiency: amount of tissue resected per case, operating department time per case and amount of tissue resected per minute.

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Objective: To study the relationship of annual surgeon case volume to surgical outcome following hysterectomy.

Study Design: We performed a retrospective cohort study of women who underwent hysterectomy between January 1995 and December 2005 and evaluated the relationship of surgeon volume to complications and resource utilization.

Results: A total of 214 physicians contributed a total of 8,747 patients to the study.

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Objective: To examine the relationship between surgical volume and complications and resource utilization for myomectomy.

Study Design: This retrospective cross-sectional study in a university hospital setting (Brigham and Women's Hospital) analyzed 527 consecutive women with uterine fibroids who underwent abdominal myomectomy. A multivariate analysis was performed to determine the association between surgical volume and outcomes.

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Objective: To report a supracervical hysterectomy performed after a life-threatening hemorrhage due to an attempted surgical termination at a gestational age of 18 weeks, which appeared to be a cervical pregnancy.

Design: Case report.

Setting: Teaching hospital.

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Objective: To describe a successful pregnancy after a change in configuration of the endometrial cavity after magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) for leiomyomas.

Design: Case report.

Setting: University hospital.

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