Tissue Adhesions
Conditions
Keywords
hysteroscopy, postoperative complications, adhesions, hyaluronic gel, prevention
Brief summary
Operations in the uterus are currently possible using a hysteroscope. One serious though rare complication of such procedures is the development of intra-uterine adhesions. There currently are no methods to prevent this. The aim of this study is to evaluate the safety of using hyaluronic gel after hysteroscopic surgery.
Detailed description
Operations in the uterus are currently possible using a hysteroscopic approach. Intrauterine procedures include; polypectomy, myomectomy, removal of lost IUD,removal of a septum and more. One serious though rare complication of operative hysteroscopy is the development of intra-uterine adhesions. Such adhesions, also known as asherman's syndrome, can cause serious consequences such as infertility and miscarriage. The hypothesis is that the removal of the endometrium and the exposure of ra uterine wall to each other can cause attachment and adhesions. the treatment is to mechanically break the adhesion. recurrence is however common. There currently are no methods to prevent adhesions following curettage or hysteroscopy. The aim of this study is to evaluate the safety of using hyaluronic gel after hysteroscopic surgery. At a later research, the efficacy of barrier gel will be measures.
Interventions
single use of 10 mL of the hyalobarrier gel intrauterine immediately following hysteroscopic surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18 year old and over * need of hysteroscopic surgery
Exclusion criteria
* preoperative fever or infection * malignancy * previous PID * contraindications for anesthesia * pregnancy * under 18 year old * not able to read and/or understand informed consent * taking any medicine other than oral contraceptives
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient satisfaction following gel application | 2 months |