Synechia after uterine compression sutures

• Published in: Fertility and sterility Vol. 95; no. 1; pp. 405 - 409
• Main Authors: Rathat, Gauthier, M.D, Do Trinh, Phi, M.D, Mercier, Grégoire, M.D, Reyftmann, Lionel, M.D, Dechanet, Clotilde, M.D, Boulot, Pierre, M.D, Giacalone, Pierre Ludovic, M.D., Ph.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 2011; Elsevier
• Subjects: Adult; Biological and medical sciences; Cesarean Section - adverse effects; Cesarean Section - statistics & numerical data; Cohort Studies; Delivery. Postpartum. Lactation; Diseases of mother, fetus and pregnancy; Disorders; Female; Follow-Up Studies; Gynatresia - epidemiology; Gynatresia - etiology; Gynecology. Andrology. Obstetrics; Humans; Hysterectomy; Internal Medicine; Lost to Follow-Up; Medical sciences; Morbidity; Obstetrics and Gynecology; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postpartum hemorrhage; Postpartum Hemorrhage - epidemiology; Postpartum Hemorrhage - surgery; Pregnancy; Pregnancy. Fetus. Placenta; Retrospective Studies; surgical procedures; Sutures - adverse effects; uterine cavity synechiae; uterine compression sutures; uterine inertia; Uterus - surgery; Young Adult; surgical procedures; uterine inertia; uterine cavity synechiae; Postpartum hemorrhage; uterine compression sutures; Compression; Pregnancy disorders; Gynecology; Puerperium; Hemorrhage; Obstetrics; Treatment; Cavity; Uterus; Surgery; Delivery disorders; Synechia; Uterine inertia; Suture
• ISSN: 0015-0282; 1556-5653
• DOI: 10.1016/j.fertnstert.2010.08.055

We present a study of 37 women who underwent uterine compression suture for postpartum hemorrhage, with 13 postoperative assessments by hysteroscopy. Synechia occurred in seven patients, of whom three had Asherman syndrome (23% of women who desired pregnancy and had hysteroscopic evaluation) that could not be corrected.