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manuale per un'isteroscopia moderna - Ginecologia

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INDICAZIONI ATTUALI ALL’ISTEROSCOPIA DIAGNOSTICA CAP. 3<br />

Nel post-o<strong>per</strong>atorio l’utilità dell’isteroscopia diagnostica si limita agli interventi<br />

pregressi di miomectomia addominale o metroplastica al fine di valutare le<br />

caratteristiche e qualità dei processi di cicatrizzazione dell’organo uterino.<br />

Indicazioni ostetriche. Le indicazioni <strong>per</strong> così dire “ostetriche” all’esecuzione<br />

di una isteroscopia diagnostica rappresentano una nicchia abbastanza<br />

consistente: <strong>per</strong>sistenza di materiale placentare o abortivo dopo il parto o raschiamento<br />

ostetrico; prevenzione della formazione di sinechie dopo curettage<br />

post-abortivo della cavità uterina; monitoraggio della neoplasia trofoblastica<br />

precedentemente trattata.<br />

Bibliografia<br />

1. De Angelis C, Santoro G, Re ME et al. Office hysteroscopy and compliance: mini-hysteroscopy<br />

versus traditional hysteroscopy in a randomized trial. Human<br />

Reprod. 2003, 18 (11), 1-5<br />

2. Angioni S, Loddo A,Milano F et al. J Minim Invasive Gynecol. 2008 15 (1), 87-91<br />

3. Brown S, Coddington C, Schonnor J et al. Evaluation of outpatient hysteroscopy,<br />

saline infusion hysterosonography and hysterosalpingography in infertile women:<br />

a prospective randomized study. Fertil Steril. 2000, 74, 5<br />

4. Wang C, Lee C, Lai Y et al. Comparison of hysterosalpingography and hysteroscopy<br />

in female infertility. J Am Assoc Gynecol Laparosc. 1996 3, 581-584<br />

5. La Sala GB, Montanari R, Dessanti L et al. The role of diagnostic hysteroscopy<br />

and endometrial biopsy in assisted reproductive technologies. Fertil Steril. 1998,<br />

70 (2), 378-80<br />

6. Dicker D, Goldman J, Ashkenazi J et al. The value of hysteroscopy in elderly<br />

women prior to in vitro fertilization-embryo transfer: a comparative study. J in vitro<br />

Fert.Embryo Trans. 1990, 7(5), 267-70<br />

7. Demirol A, Gurgan T. Effect of treatment of intrauterine pathologies with office<br />

hysteroscopy in patients with recurrent IVF failure. RBMOnline 2004 8 (5), 590-594<br />

8. Dendrinos S, Grigoriu O, Sakkas EG et al. Hysteroscopy in the evaluation of habitual<br />

abortions. Eur J Contracept Reprod Health Care 2008, 13 (2), 198-200.<br />

9. Raziel A, Arieli S, Bukovski I. Investigation of the uterine cavity in recurrent<br />

aborters. Fert.Steril. 1994 62, 1080–82<br />

10. Clifford K, Rai R, Watson H et al. An informative protocol for the investigation or<br />

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