Hysteroscopic Adhesiolysis
Conditions
Brief summary
Assess the feasibility of CollaGUARD following Hysteroscopic Adhesiolysis.
Detailed description
Intrauterine adhesions following gynaecological surgery is a major complication which may cause a range of severe clinical symptoms in women. IUA's can result in menstrual abnormalities, dysmenorrhea and infertility. In pregnancy, adhesions are related to miscarriage, ectopic pregnancy, abnormal placentation, premature labor and delivery and possibly birth defects. CollaGUARD adhesion barrier is a transparent bioresorbable film approved in Europe for the prevention of postoperative adhesions in patients undergoing abdomino-pelvic laparotomy or laparoscopy. This study will assess the feasibility of using CollaGUARD adhesion device in hysteroscopic surgery.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed with intrauterine adhesions and found eligible for hysteroscopic adhesiolysis * Willing to use additional contraception throughout study
Exclusion criteria
* Be pregnant or having a suspected molar pregnancy, lactating, or planning to become pregnant at any time during the study * Has suffered or currently suffers from a gynaecological malignancy * Has undergone a previous hysteroscopic surgery (such as removal of fibroids)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of using CollaGUARD in hysteroscopic adhesiolysis: Surgeon completed questionnaire | following initial hysteroscopy | surgeon completed questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of de novo adhesion and adhesion reformation | 9 weeks post initial hysteroscopy | assessed during follow-up hysteroscopy |
| Change in severity of adhesions | 9 weeks post initial hysteroscopy | European Society Gynecological Endoscopy (ESGE) classification of IUA's; modified American Fertility Society (mAFS) |
| Degradation of CollaGUARD | 2 weeks post initial hysteroscopy | assessed via ultrasound |
Countries
Netherlands