A novel ultrasound-guided technique for hysteroscopic adhesiolysis in high-risk patients

Maya Kriseman, Amy Schutt, Jewel Appleton, Anil K Pillai, Verghese George, Paul W. Zarutskie

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Hysteroscopy is a common gynecologic surgical procedure. Certain diagnoses, notably intrauterine adhesions and cervical stenosis, make hysteroscopy more complicated because of an increased likelihood of complications. Three patients, 1 with cervical stenosis and 2 with Asherman syndrome, underwent ultrasound (US)-guided adhesiolysis. Access to the uterine cavity was obtained by either direct balloon-aided dilation or the US-guided Seldinger technique, followed by balloon-aided dilation to enter the endometrial cavity and disrupt intrauterine/ intracervical adhesions. In this case series, we describe a novel approach of using US-guided balloon dilation to safely and effectively treat intrauterine adhesions and to decrease the risk of perforation.

Original languageEnglish (US)
Pages (from-to)1383-1387
Number of pages5
JournalJournal of Ultrasound in Medicine
Volume38
Issue number5
DOIs
StatePublished - May 1 2019
Externally publishedYes

Keywords

  • Adhesiolysis
  • Balloon-aided dilation
  • Gynecology
  • Hysteroscopy
  • Perforation

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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