Article Sidebar

Published: 2026-04-01
Abstract Views: 0
DOI: https://doi.org/10.52163/yhc.v67iCD3.4708
Issue
Tập 67 Số CĐ3-NCKH
Section
Articles
How to Cite
Thúy, T. T., Du, V. V., Hương, L. T. N., & Hoàng, N. M. (2026). TREATMENT OUTCOMES OF INTRAUTERINE ADHESIONS BY HYSTEROSCOPIC SURGERY AT THE NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY FROM AUGUST 2024 TO AUGUST 2025 . Vietnam Journal of Community Medicine, 67(CD3). https://doi.org/10.52163/yhc.v67iCD3.4708

TREATMENT OUTCOMES OF INTRAUTERINE ADHESIONS BY HYSTEROSCOPIC SURGERY AT THE NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY FROM AUGUST 2024 TO AUGUST 2025

Tran Thi Thuy1, Vu Van Du2, Le Thi Ngoc Huong2, Nong Minh Hoang2
1 Ha Nam General Hospital
2 Central Obstetrics and Gynecology Hospital

Main Article Content

Abstract

Objective: To describe the treatment outcomes of intrauterine adhesions (IUA) using hysteroscopic surgery at the National Hospital of Obstetrics and Gynecology from August 2024 to August 2025.


Subjects and methods: A cross-sectional descriptive study was conducted on 50 patients with intrauterine adhesions who underwent hysteroscopic surgery at the National Hospital of Obstetrics and Gynecology.


Results: Among 50 patients undergoing hysteroscopic treatment for intrauterine adhesions, the 35–39 age group accounted for the highest proportion, with moderate adhesions (involving one-third to two-thirds of the uterine cavity) being predominant. Complete adhesiolysis was achieved in the majority of cases, with clear visualization of both tubal ostia. After three months, most patients showed significant improvement in menstrual patterns and complete resolution of pelvic pain. Among the followed-up patients, several achieved spontaneous pregnancy after treatment. The procedure demonstrated a low rate of surgical complications, including isolated cases of bleeding and uterine perforation.


Conclusion: Hysteroscopic adhesiolysis is a safe and effective treatment method, enabling restoration of uterine anatomical structure, significant improvement of menstrual function, and enhancement of fertility potential. Appropriate surgical technique selection and accurate assessment of adhesion severity play a crucial role in optimizing treatment outcomes and minimizing complications.

Article Details

Keywords

intrauterine adhesions, hysteroscopy.

References

1. Hooker, A.B., et al., Reproductive performance of women with and without intrauterine adhesions following recurrent dilatation and curettage for miscarriage: Long-term follow-up of a randomized controlled trial. Human Reproduction, 2021. 36: p. 70-81.
2. Xiao, S., et al., Etiology, treatment, and reproductive prognosis of women with moderate‐to‐severe intrauterine adhesions. International Journal of Gynecology & Obstetrics, 2014. 125(2): p. 121-124.
3. Phùng Thị Quỳnh Mai, Nghiên cứu chẩn đoán và điều trị dính buồng tử cung tại Bệnh viện Phụ sản Trung ương. 2019, Trường Đại học Y Hà Nội: Hà Nội.
4. Roge, P., et al., Hysteroscopic management of uterine synechiae: a series of 102 observations. European Journal of Obstetrics & Gynecology and Reproductive Biology, 1996. 65: p. 189-193.
5. Valle, R.F. and J.J. Sciarra, Intrauterine adhesions: Hysteroscopic diagnosis, classification, treatment, and reproductive outcome. American Journal of Obstetrics and Gynecology, 1988. 158(6): p. 1459-1470.
6. Panayotidis, C., et al., Intrauterine adhesions (IUA): has there been progress in understanding and treatment over the last 20 years? Gynecological surgery, 2009. 6(3): p. 197-211.
7. Jansen, F.W., et al., Complications of hysteroscopy: a prospective, multicenter study. Obstet Gynecol, 2000. 96(2): p. 266-70.
8. Brooks, P.G. and S.P. Serden, Hysteroscopic complications: a review of 216 cases. Obstetrics & Gynecology, 1980. 55(2): p. 232-238.