{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:12:04Z","timestamp":1777497124671,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,1,22]],"date-time":"2010-01-22T00:00:00Z","timestamp":1264118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the factors associated with hysteroscopic surgery long\u2010term outcome in patients with intrauterine adhesions or submucosal myomas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Factors thought to be associated with outcome were retrospectively evaluated from the records of 591 patients who were followed up for at least 5 years after undergoing hysteroscopic adhesiolysis (n = 203) or myomectomy (n = 388).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The major factors affecting outcome were degree of adhesion (OR, 1.91; <jats:italic>P<\/jats:italic> = 0.03) in the former group and parity (OR, 0.55; <jats:italic>P<\/jats:italic> = 0.005) and depth of intramural penetration of the myoma (OR, 30.74; <jats:italic>P<\/jats:italic> &lt; 0.001) in the latter. Severe intrauterine adhesion, low parity, and deep intramural penetration of submucosal myoma had an associated increase risk of poor outcome. The overall complication rate was 1.35% and, respectively, 12.8% and 9.3% of the patients who underwent hysteroscopic adhesiolysis or myomectomy needed a second intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hysteroscopic surgery is a safe and effective procedure. Degree of adhesion or parity and depth of intramural penetration of myomas are the major factors affecting outcome in patients with these lesions.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2009.11.018","type":"journal-article","created":{"date-parts":[[2010,1,25]],"date-time":"2010-01-25T07:04:46Z","timestamp":1264403086000},"page":"125-127","source":"Crossref","is-referenced-by-count":17,"title":["Factors associated with operative hysteroscopy outcome in patients with uterine adhesions or submucosal myomas"],"prefix":"10.1002","volume":"109","author":[{"given":"Cherry Yin\u2010Yi","family":"Chang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yung\u2010Tsang","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu\u2010Chin","family":"Chien","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shyr\u2010Shen","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yao\u2010Ching","family":"Hung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wu\u2010Chou","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,1,22]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmm041"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00485-7"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1990.tb03221.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(96)80272-6"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-200208000-00008"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2005.05.014"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.03.070"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0301-2115(95)02342-9"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1297-9589(03)00101-2"},{"issue":"1","key":"e_1_2_6_11_2","first-page":"23","article-title":"Transcervical hysteroscopic myomectomy: long\u2010term effects on abnormal uterine bleeding","volume":"32","author":"Marziani R.","year":"2005","journal-title":"Clin Exp Obstet Gynecol"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.01.014"},{"issue":"5","key":"e_1_2_6_13_2","first-page":"743","article-title":"Long\u2010term results of hysteroscopic myomectomy for abnormal uterine bleeding","volume":"93","author":"Emanuel M.H.","year":"1999","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2006.07.019"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200010000-00007"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2006.03.039"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.09.034"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2006.11.151"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1159\/000097847"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0694-4"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/12.5.943"}],"container-title":["International Journal of Gynecology &amp; 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