Treatment of Asherman’s Syndrome in an Outpatient Hysteroscopy Setting скачать в хорошем качестве

Treatment of Asherman’s Syndrome in an Outpatient Hysteroscopy Setting

The Ottawa Hospital's minimally invasive gynecology group presents a stepwise approach for treating Asherman’s Syndrome using outpatient hysteroscopic adhesiolysis, showcasing three case studies and highlighting the advantages and outcomes of this management strategy. See full transcript here: https://cansagevideos.com/treatment-of-ash... Presented By Dr. Innie Chen Dr. Hassan Shenassa Dr. Sukhbir Sony Singh Dr. Olga Bougie Dr. Karine Lortie Affiliations University of Ottawa, The Ottawa Hospital Timestamps (00:10) Outline (00:22) Asherman's Syndrome (00:43) Outpatient Hysteroscopy (01:08) Outpatient Setting (01:39) Case Presentation (06:18) Study Objectives (07:13) Conclusion This video from the Ottawa Hospital's minimally invasive gynecology group introduces a novel outpatient hysteroscopic approach to managing Asherman’s Syndrome, characterized by intrauterine adhesions that can lead to amenorrhea, pelvic pain, and infertility. The mainstay of treatment, hysteroscopic lysis of adhesions, is performed in an outpatient setting to reduce anesthetic risks and improve postoperative pain control. The video details a stepwise method for accessing and treating the uterine cavity using vaginoscopy, blunt and sharp dissection, and non-steroidal anti-inflammatory or IV sedation for pain management. Three case studies are presented, demonstrating the successful use of outpatient hysteroscopic adhesiolysis in patients with varying degrees of intrauterine adhesions. Each case highlights the procedure's efficacy in restoring normal uterine anatomy and function, with patients experiencing resumed normal menses and achieving pregnancy post-treatment. The video emphasizes the importance of careful dissection, frequent reassessment during the procedure, and the use of minimal electrosurgery to reduce inflammation and recurrence of adhesions. The retrospective case series from the Ottawa Hospital supports outpatient hysteroscopic adhesiolysis as a viable alternative to traditional operating room procedures, showing promising outcomes in terms of normal menses resumption and pregnancy rates.