Abstract
Hysteroscopy is a common gynecologic surgical procedure. Certain diagnoses, notably intrauterine adhesions and cervical stenosis, make hysteroscopy more complicated because of an increased likelihood of complications. Three patients, 1 with cervical stenosis and 2 with Asherman syndrome, underwent ultrasound (US)-guided adhesiolysis. Access to the uterine cavity was obtained by either direct balloon-aided dilation or the US-guided Seldinger technique, followed by balloon-aided dilation to enter the endometrial cavity and disrupt intrauterine/ intracervical adhesions. In this case series, we describe a novel approach of using US-guided balloon dilation to safely and effectively treat intrauterine adhesions and to decrease the risk of perforation.
Original language | English (US) |
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Pages (from-to) | 1383-1387 |
Number of pages | 5 |
Journal | Journal of Ultrasound in Medicine |
Volume | 38 |
Issue number | 5 |
DOIs | |
State | Published - May 1 2019 |
Externally published | Yes |
Keywords
- Adhesiolysis
- Balloon-aided dilation
- Gynecology
- Hysteroscopy
- Perforation
ASJC Scopus subject areas
- Radiological and Ultrasound Technology
- Radiology Nuclear Medicine and imaging