Ciddi Asherman Sendromunun Histeroskopik Tedavisi Sonrası Ivf Gebeliklerde Görülen İnce Endometrium Zemininde Gerçekleşen Plasenta İnvazyon Anomalileri: Olgu Serisi

Thin Endometrium After Hysteroscopic Treatment Of Severe Asherman’s Syndrome in Ivf Pregnancies: Case Series

Leylim YALÇINKAYA, Emin HAKVERDİYEV, Bertan AKAR, Reyhan ASLANCAN, Gokhan GÜMÜŞTAŞ, Eray ÇALIŞKAN

Özet

Geçirilmiş uterin cerrahi, plasenta invazyon anomalileri için en önemli nedenlerden olan Asherman sendromu için önemli bir risk faktörüdür. Bu çalışmada ciddi intra uterin adhezyonların tedavisi için yapılan histeroskopik adhezyolizis sonrası persiste eden ince endometriyum (

Abstract

Previous uterine surgery is the most important risk factor for Asherman’s syndrome which is an important risk factor for placenta invasion abnormalities. In this study, it is presented three IVF pregnancy outcomes which had obtained from the base of consistent thin endometrium (≤7 mm) following the hysteroscopic adhesiolysis treatment for severe intrauterine adhesions. Variable degrees of placenta invasion abnormalities had detected in the cesarean section deliveries. First two cases with placenta percreta had been managed via cesarean hysterectomy because of the failure of conservative technique, and the third case with less placental invasion had been managed via conservative approach. Pregnancies with the history of hysteroscopicadhesiolyis due to severe intra uterine adhesions must be categorized as high risk pregnancy and they should be followed up closely according to this risky situation