- Email: [email protected]
Hysteroscopic Intrauterine Adhesiolysis Using the “Ploughing” Technique With Cold Scissors
Accepted Manuscript Hysteroscopic intrauterine adhesiolysis using “ploughing” technique with cold scissors Aiqian Zhang, M.D, Grace Jamail, MS, Min Xue, M.D, Xiaoming Guan, M.D, Songshu Xiao, M.D, Dabao Xu, M.D PII:
S1553-4650(15)00409-4
DOI:
10.1016/j.jmig.2015.05.009
Reference:
JMIG 2573
To appear in:
The Journal of Minimally Invasive Gynecology
Received Date: 21 April 2015 Accepted Date: 12 May 2015
Please cite this article as: Zhang A, Jamail G, Xue M, Guan X, Xiao S, Xu D, Hysteroscopic intrauterine adhesiolysis using “ploughing” technique with cold scissors, The Journal of Minimally Invasive Gynecology (2015), doi: 10.1016/j.jmig.2015.05.009. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Title: Hysteroscopic intrauterine adhesiolysis using “ploughing” technique with cold scissors
Xiao, M.D.1, Dabao Xu, M.D.1*
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Aiqian Zhang, M.D.1, Grace Jamail, MS2, Min Xue, M.D.1, Xiaoming Guan, M.D.2**, Songshu
1 Department of Gynecology, Third Xiangya Hospital of Central South University, Changsha, Hunan, China
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2 Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA
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* Corresponding author contact information: Dabao Xu, MD, 138 Tongzipo Rd. Changsha, Hunan, China, 410013. Email: [email protected]
**Co-corresponding author contact information: Xiaoming Guan, MD, 6551 Main Street, Suite 1050, Houston, TX 77030. Email: [email protected]
University.
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Note: This study has gotten approval of IRB from Third Xiangya Hospital of Central South
EP
Hysteroscopic intrauterine adhesiolysis using “ploughing” technique with cold scissors Abstract
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Objective: The majority of the current published literature describes hysteroscopic adhesiolysis (HA) for patients with intrauterine adhesions (IUA) using electrical instruments which may cause thermal injury to the endometrium. This video shows the technique of HA using“ploughing” technique with cold scissors. Design: Step-by-step explanation of the technique using videos and pictures (educative video) Setting: Third Xiangya Hospital of Central South University Patient(s): A 39 year old woman diagnosed with intrauterine adhesions (IUA).
ACCEPTED MANUSCRIPT Intervention: HA using “ploughing” technique with cold scissors followed by adjunct postoperative treatment with a follow up hysteroscopy 2 months later. Measurement and Main results: The uterine cavity was successfully reopened and the scars covering the inner uterine walls were ploughed longitudinally to release the contraction imposed
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by the scars as well as providing a fresh and rich blood-supplied surface for endometrium to grow and cover after the surgery. There were no complications. The follow-up hysteroscopy 2 months later revealed a normal uterine cavity and much improved endometrium, along with restoration of
SC
almost normal menses.
Conclusions: HA using “ploughing” technique with cold scissors is effective in rebuilding the
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uterine cavity even for patients with severe IUA. Its advantages are worth further study.
Keywords: intrauterine adhesion; hysteroscopy; intrauterine adhesiolysis; postoperative managements; thermal injury
Acknowledgements: This paper is supported by the National Natural Science Foundation of
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China (Grant no: 81170609)
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EP
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ACCEPTED MANUSCRIPT
ACCEPTED MANUSCRIPT
Link to view video via Drop Box:
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https://www.dropbox.com/s/ilp59ytxx0vbp0t/JMIG-D15-00239.zip?dl=0
ACCEPTED MANUSCRIPT
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M AN U
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http://www.AAGL.org/jmig-22-5-JMIG-D-15-00239
S1553-4650(15)00409-4
DOI:
10.1016/j.jmig.2015.05.009
Reference:
JMIG 2573
To appear in:
The Journal of Minimally Invasive Gynecology
Received Date: 21 April 2015 Accepted Date: 12 May 2015
Please cite this article as: Zhang A, Jamail G, Xue M, Guan X, Xiao S, Xu D, Hysteroscopic intrauterine adhesiolysis using “ploughing” technique with cold scissors, The Journal of Minimally Invasive Gynecology (2015), doi: 10.1016/j.jmig.2015.05.009. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Title: Hysteroscopic intrauterine adhesiolysis using “ploughing” technique with cold scissors
Xiao, M.D.1, Dabao Xu, M.D.1*
RI PT
Aiqian Zhang, M.D.1, Grace Jamail, MS2, Min Xue, M.D.1, Xiaoming Guan, M.D.2**, Songshu
1 Department of Gynecology, Third Xiangya Hospital of Central South University, Changsha, Hunan, China
SC
2 Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA
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* Corresponding author contact information: Dabao Xu, MD, 138 Tongzipo Rd. Changsha, Hunan, China, 410013. Email: [email protected]
**Co-corresponding author contact information: Xiaoming Guan, MD, 6551 Main Street, Suite 1050, Houston, TX 77030. Email: [email protected]
University.
TE D
Note: This study has gotten approval of IRB from Third Xiangya Hospital of Central South
EP
Hysteroscopic intrauterine adhesiolysis using “ploughing” technique with cold scissors Abstract
AC C
Objective: The majority of the current published literature describes hysteroscopic adhesiolysis (HA) for patients with intrauterine adhesions (IUA) using electrical instruments which may cause thermal injury to the endometrium. This video shows the technique of HA using“ploughing” technique with cold scissors. Design: Step-by-step explanation of the technique using videos and pictures (educative video) Setting: Third Xiangya Hospital of Central South University Patient(s): A 39 year old woman diagnosed with intrauterine adhesions (IUA).
ACCEPTED MANUSCRIPT Intervention: HA using “ploughing” technique with cold scissors followed by adjunct postoperative treatment with a follow up hysteroscopy 2 months later. Measurement and Main results: The uterine cavity was successfully reopened and the scars covering the inner uterine walls were ploughed longitudinally to release the contraction imposed
RI PT
by the scars as well as providing a fresh and rich blood-supplied surface for endometrium to grow and cover after the surgery. There were no complications. The follow-up hysteroscopy 2 months later revealed a normal uterine cavity and much improved endometrium, along with restoration of
SC
almost normal menses.
Conclusions: HA using “ploughing” technique with cold scissors is effective in rebuilding the
M AN U
uterine cavity even for patients with severe IUA. Its advantages are worth further study.
Keywords: intrauterine adhesion; hysteroscopy; intrauterine adhesiolysis; postoperative managements; thermal injury
Acknowledgements: This paper is supported by the National Natural Science Foundation of
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EP
TE D
China (Grant no: 81170609)
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EP
TE D
M AN U
SC
RI PT
ACCEPTED MANUSCRIPT
ACCEPTED MANUSCRIPT
Link to view video via Drop Box:
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TE D
M AN U
SC
RI PT
https://www.dropbox.com/s/ilp59ytxx0vbp0t/JMIG-D15-00239.zip?dl=0
ACCEPTED MANUSCRIPT
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M AN U
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http://www.AAGL.org/jmig-22-5-JMIG-D-15-00239