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[Epidemiological profile, etiological diagnosis and prognosis of uterine synechias: report of 86 cases].
Tunis Med
April 2012
Service de gynecologie obstetrique, B. Hopital Charles Nicolle, Tunis.
Background: Uterine synechias may pose real problems for fertility prognosis. It depends mainly on its etiology.
Aim: To study the epidemiological profile of patients, describe the circumstances of discovery of uterine synechias, specify the diagnostic procedures for pelvic ultrasound, hysterography and hysteroscopy and estimate the benefits on fertility.
Twenty-four cases of intrauterine adhesions (Asherman's syndrome) were reported. The characteristic clinical picture was amenorrhea of hypomenorrhea accompanied by periodic lower abdominal pain. Intrauterine adhesions were demonstrated by hysterography in 14 cases.
View Article and Find Full Text PDF[Repeated spontaneous abortion syndrome. Current status of the topic].
Rev Fr Gynecol Obstet
December 1987
Clinique Obstétricale, Pavillon K, Hôpital Edouard Herriot, Lyon.
In recurrent spontaneous miscarriages, the etiological work-up must seek for an immunological cause when the gynecological work-up, hysterography and parent's caryotypes are normal. In the first part of the article, the problem of the association recurrent miscarriages-anti-prothrombinase antibodies is presented. A review of the literature shows that this antibody would be present in approximately 10 per cent of the cases of recurrent miscarriages.
View Article and Find Full Text PDF[Contribution of celioscopy to the diagnosis and treatment of female sterility].
Rev Fr Gynecol Obstet
April 1987
After having specified the current place of celioscopy in the study of female sterility, the authors try to specify, with the use of a short personal series of 64 cases and a large review of the literature, the diagnostic and therapeutic advantage of celioscopy. It is a particularly performing examination for the etiological diagnosis of tubal and peritoneal sterilities, contradicting sometimes the data provided by hysterography. In their experience, it enables to offer a suitable therapeutic strategy in 81% of the cases, whether it is abstention, medical treatment, immediate surgical treatment (per celioscopy, laser or laparotomy) or secondary surgical treatment.
View Article and Find Full Text PDFFilling of cavities in the uterine wall during hysterography was observed in 54 of 320 surgically excised specimens in which metal threads had been inserted at different levels for identification. Adenomyosis may have accounted for these cavities in 24%. Cavities secondary to adenomyosis in one part of the uterus coexisted when cavities not etiologically related to the disease in another part.
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