{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:13:30Z","timestamp":1787015610115,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T00:00:00Z","timestamp":1668902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the frequency of intrauterine adhesion (IUA) after hysteroscopic myomectomy, and to analyze the association of IUA and the location of submucous myomas and the use of postoperative barrier (POB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Hysteroscopic myomectomy was performed in 217 patients with submucous myomas. The retrospective investigation was performed, and the cases were divided into three groups: cases with solitary submucous myoma (SSM; group 1), cases with apposing submucous myomas (ASMs; group 2) and cases with submucous myomas that were far from each other or not in apposition to one another (not apposing submucous myomas: NASMs; group 3). As POB, intrauterine device with oxidized regenerated cellulose and silicon sheet was inserted immediately after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      IUA formation after hysteroscopic myomectomy was more frequent in group 2 than groups 1 and 3\n                      <jats:italic>(p<\/jats:italic>\n                      \u00a0=\u00a00.03 and 0.01, respectively), despite the higher rates of POB use\n                      <jats:italic>(p<\/jats:italic>\n                      \u00a0=\u00a00.02). There was no significant difference in IUA formation in cases with POB between each group (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.06 and 0.21, respectively). But in cases without POB, group 2 showed higher rates of IUA formation than group 1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.04) and group 3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03). Multivariable analysis for IUA formation demonstrated that ASMs were a risk factor of IUA (hazard ratio [HR]\u00a0=\u00a027.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), and the use of POB was a prognostic factor for reduction of IUA formation (HR\u00a0=\u00a00.08,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ASMs appear to be a risk factor for IUA formation. The use of POB may be associated with preventing IUA formation after hysteroscopic myomectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.15499","type":"journal-article","created":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T21:23:30Z","timestamp":1668979410000},"page":"675-681","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Intrauterine adhesion after hysteroscopic myomectomy of submucous myomas"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6671-1858","authenticated-orcid":false,"given":"Kazuki","family":"Takasaki","sequence":"first","affiliation":[{"name":"Department of Gynecology and Reproductive Endocrinology Tonan Hospital  Sapporo Japan"},{"name":"Department of Obstetrics and Gynecology Teikyo University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Henmi","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Reproductive Endocrinology Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Utako","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Reproductive Endocrinology Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiaki","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Reproductive Endocrinology Tonan Hospital  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7928-2471","authenticated-orcid":false,"given":"Atsushi","family":"Azumaguchi","sequence":"additional","affiliation":[{"name":"Sapporo Endometrium Research  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Nagasaka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Teikyo University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)45789-4"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/853269"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.4236\/ss.2019.107024"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmm041"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.05.027"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2019.00050"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60478-1"},{"issue":"11","key":"e_1_2_8_9_1","first-page":"CD011110","article-title":"Anti\u2010adhesion therapy following operative hysteroscopy for treatment of female subfertility","volume":"2017","author":"Bosteels 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