{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:46:15Z","timestamp":1791852375657,"version":"4.3.4"},"reference-count":51,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012902","name":"Saint Paul\u2019s Hospital Millennium Medical College","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012902","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Asherman syndrome is one of the endometrial factors that influence a woman\u2019s reproductive capacity. However, in our context, it needs to be well-documented. This study aimed to evaluate the clinical characteristics and hysteroscopic treatment outcomes of Asherman syndrome.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>A retrospective follow-up study from January 1, 2019, to December 31, 2022, was conducted on cases of Asherman syndrome after hysteroscopic adhesiolysis at St.Paul\u2019s Hospital in Addis Ababa, Ethiopia. Clinical data were collected via telephone survey and checklist. Epidata-4.2 and SPSS-26 were employed for data entry and analysis, respectively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Result<\/jats:title>\n                <jats:p>A total of 177 study participants were included in the final analysis. The mean patient age was 31 years (range: 21\u201339) at the initial presentation, and 32.3 years (range: 22\u201340) during the phone interview. The majority of the patients (97.7%) had infertility, followed by menstrual abnormalities (73.5%). Among them, nearly half (47.5%) had severe, 38.4% had moderate, and 14.1% had mild Asherman syndrome. The review identified no factor for 51.4% of the participants. Endometrial tuberculosis affected 42 patients (23.7%). It was also the most frequent factor in both moderate and severe cases of Asherman syndrome. Only 14.7% of patients reported menstrual correction. Overall, 11% of women conceived. Nine patients miscarried, three delivered viable babies, and six were still pregnant. The overall rate of adhesion reformation was 36.2%. Four individuals had complications (3 uterine perforations and one fluid overload) making a complication rate of 2.3%.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Our study revealed that severe forms of Asherman syndrome, which are marked by amenorrhea and infertility, were more common, leading to incredibly low rates of conception and the resumption of regular menstruation, as well as high recurrence rates. A high index of suspicion for Asherman syndrome, quick and sensitive diagnostic testing, and the development of a special algorithm to identify endometrial tuberculosis are therefore essential. Future multi-centered studies should focus on adhesion preventive techniques.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12905-024-02944-0","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T11:02:22Z","timestamp":1707303742000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Review of Asherman syndrome and its hysteroscopic treatment outcomes: experience in a low-resource setting"],"prefix":"10.1186","volume":"24","author":[{"given":"Melkamu","family":"Siferih","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Gebre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fufa","family":"Hunduma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"Abebe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akebom","family":"Gebremichael","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habtamu","family":"Sewunet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tewodros","family":"Shibabaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,7]]},"reference":[{"issue":"2","key":"2944_CR1","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1016\/j.jmig.2017.09.020","volume":"25","author":"Z Khan","year":"2018","unstructured":"Khan Z, Goldberg JM. Hysteroscopic Management of Asherman\u2019s syndrome. J Minim Invasive Gynecol. 2018;25(2):218\u201328.","journal-title":"J Minim Invasive Gynecol"},{"issue":"4","key":"2944_CR2","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1016\/j.fertnstert.2008.02.096","volume":"89","author":"D Yu","year":"2008","unstructured":"Yu D, Wong YM, Cheong Y, Xia E, Li TC. Asherman syndrome\u2013one century later. Fertil Steril. 2008;89(4):759\u201379.","journal-title":"Fertil Steril"},{"issue":"1","key":"2944_CR3","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1111\/j.1471-0528.1948.tb07045.x","volume":"55","author":"JG Asherman","year":"1948","unstructured":"Asherman JG. Amenorrhoea Traumatica (Atretica). BJOG: Int J Obstet Gynecol. 1948;55(1):23\u201330.","journal-title":"BJOG: Int J Obstet Gynecol"},{"key":"2944_CR4","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1186\/1477-7827-11-118","volume":"11","author":"A Conforti","year":"2013","unstructured":"Conforti A, Alviggi C, Mollo A, De Placido G, Magos A. The management of Asherman syndrome: a review of the literature. Reproductive Biology Endocrinology: RB&E. 2013;11:118.","journal-title":"Reproductive Biology Endocrinology: RB&E"},{"issue":"4","key":"2944_CR5","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1097\/GCO.0000000000000378","volume":"29","author":"CA Salazar","year":"2017","unstructured":"Salazar CA, Isaacson K, Morris S. A comprehensive review of Asherman\u2019s syndrome: causes, symptoms and treatment options. Curr Opin Obst Gynecol. 2017;29(4):249\u201356.","journal-title":"Curr Opin Obst Gynecol"},{"issue":"5","key":"2944_CR6","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1016\/S0015-0282(16)46268-0","volume":"37","author":"EE Wallach","year":"1982","unstructured":"Wallach EE, Schenker JG, Margalioth EJ. Intrauterine adhesions: an updated appraisal. Fertil Steril. 1982;37(5):593\u2013610.","journal-title":"Fertil Steril"},{"issue":"6","key":"2944_CR7","doi-asserted-by":"publisher","first-page":"442","DOI":"10.4103\/2141-9248.177984","volume":"5","author":"I Takai","year":"2015","unstructured":"Takai I, Kwayabura A, Ugwa E, Idrissa A, Obed J, Bukar M. A 10\u2013year review of the clinical presentation and treatment outcome of Asherman\u2019s syndrome at a Center with Limited resources. Annals Med Health Sci Res. 2015;5(6):442\u20136.","journal-title":"Annals Med Health Sci Res"},{"key":"2944_CR8","doi-asserted-by":"publisher","first-page":"191","DOI":"10.2147\/IJWH.S165474","volume":"11","author":"E Dreisler","year":"2019","unstructured":"Dreisler E, Kjer JJ. Asherman\u2019s syndrome: current perspectives on diagnosis and management. Int J Women\u2019s Health. 2019;11:191\u20138.","journal-title":"Int J Women\u2019s Health"},{"issue":"5","key":"2944_CR9","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1590\/S1516-31802007000500002","volume":"125","author":"A Salzani","year":"2007","unstructured":"Salzani A, Yela DA, Gabiatti JR, Bedone AJ, Monteiro IM. Prevalence of uterine synechia after abortion evacuation curettage. Sao Paulo Med J = Revista paulista de Med. 2007;125(5):261\u20134.","journal-title":"Sao Paulo Med J = Revista paulista de Med"},{"issue":"2","key":"2944_CR10","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1093\/humupd\/dmt045","volume":"20","author":"AB Hooker","year":"2014","unstructured":"Hooker AB, Lemmers M, Thurkow AL, Heymans MW, Opmeer BC, Br\u00f6lmann HA, et al. Systematic review and meta-analysis of intrauterine adhesions after miscarriage: prevalence, risk factors, and long-term reproductive outcome. Hum Reprod Update. 2014;20(2):262\u201378.","journal-title":"Hum Reprod Update"},{"key":"2944_CR11","doi-asserted-by":"crossref","unstructured":"Opadiran R, Isah A, Agida E, Adewole N. Outcome of intrauterine adhesion management at a Nigerian tertiary hospital: a five-year review. Int J Reprod Contracept Obstet Gynecol.7(2):376.","DOI":"10.18203\/2320-1770.ijrcog20180151"},{"issue":"1","key":"2944_CR12","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1007\/s00404-007-0419-0","volume":"277","author":"JB Sharma","year":"2008","unstructured":"Sharma JB, Roy KK, Pushparaj M, Gupta N, Jain SK, Malhotra N, et al. Genital tuberculosis: an important cause of Asherman\u2019s syndrome in India. Arch Gynecol Obstet. 2008;277(1):37\u201341.","journal-title":"Arch Gynecol Obstet"},{"key":"2944_CR13","unstructured":"Olarewaju R, Otubu J. Asherman\u2019s syndrome: Experience in Jos University Teaching Hospital. Trop J Obstet Gynaecol. 1993;10(1)."},{"key":"2944_CR14","unstructured":"KIRAT APDS, DIAGNOSTIC IMAGING METHODS IN. GYNECOLOGY: A. CURRENT APPROACHES IN GYNECOLOGY AND GYNECO-ONCOLOGY. 2022:275."},{"issue":"2","key":"2944_CR15","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1148\/radiology.206.2.322","volume":"206","author":"JG Hazel Jr","year":"1998","unstructured":"Hazel JG Jr. Diagnostic Imaging and Endoscopy in Gynecology: a practical guide. Radiology. 1998;206(2):322.","journal-title":"Radiology"},{"issue":"11","key":"2944_CR16","first-page":"986","volume":"80","author":"H Al-Inany","year":"2001","unstructured":"Al-Inany H. Intrauterine adhesions: an update. Acta Obstet Gynecol Scand. 2001;80(11):986\u201393.","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2944_CR17","first-page":"162","volume-title":"Hysteroscopy in infertility and repeated pregnancy loss","author":"P Taylor","year":"1995","unstructured":"Taylor P, Hamou J. Hysteroscopy in infertility and repeated pregnancy loss. Atlas of gynecologic endoscopy London: Mosby-Wolfe; 1995. p. 162."},{"issue":"1","key":"2944_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12905-022-01940-6","volume":"22","author":"Y Sun","year":"2022","unstructured":"Sun Y, Chen X, Qian Z, Cao L, Zhan S, Huang L. Estradiol and intrauterine device treatment for moderate and severe intrauterine adhesions after transcervical resection. BMC Womens Health. 2022;22(1):1\u20135.","journal-title":"BMC Womens Health"},{"issue":"5","key":"2944_CR19","doi-asserted-by":"publisher","first-page":"1973","DOI":"10.1016\/j.fertnstert.2007.06.074","volume":"90","author":"R Pabuccu","year":"2008","unstructured":"Pabuccu R, Onalan G, Kaya C, Selam B, Ceyhan T, Ornek T, et al. Efficiency and pregnancy outcome of the serial intrauterine device\u2013guided hysteroscopic adhesiolysis of intrauterine synechiae. Fertil Steril. 2008;90(5):1973\u20137.","journal-title":"Fertil Steril"},{"issue":"5","key":"2944_CR20","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1530\/REP-16-0286","volume":"152","author":"Y Zhang","year":"2016","unstructured":"Zhang Y, Lin X, Dai Y, Hu X, Zhu H, Jiang Y, et al. Endometrial stem cells repair injured endometrium and induce angiogenesis via AKT and ERK pathways. Reproduction. 2016;152(5):389\u2013402.","journal-title":"Reproduction"},{"issue":"1","key":"2944_CR21","first-page":"26","volume":"30","author":"S Pace","year":"2003","unstructured":"Pace S, Stentella P, Catania R, Palazzetti PL, Frega A. Endoscopic treatment of intrauterine adhesions. Clin Exp Obstet Gynecol. 2003;30(1):26\u20138.","journal-title":"Clin Exp Obstet Gynecol"},{"issue":"5","key":"2944_CR22","doi-asserted-by":"publisher","first-page":"1230","DOI":"10.1093\/humrep\/14.5.1230","volume":"14","author":"S Capella-Allouc","year":"1999","unstructured":"Capella-Allouc S, Morsad F, Rongi\u00e8res-Bertrand C, Taylor S, Fernandez H. Hysteroscopic treatment of severe Asherman\u2019s syndrome and subsequent fertility. Hum Reprod. 1999;14(5):1230\u20133.","journal-title":"Hum Reprod"},{"issue":"6","key":"2944_CR23","doi-asserted-by":"publisher","first-page":"944","DOI":"10.1016\/S0015-0282(16)59942-7","volume":"49","author":"A Adhesions","year":"1988","unstructured":"Adhesions A. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies, and intrauterine adhesions. Fertil Steril. 1988;49(6):944.","journal-title":"Fertil Steril"},{"issue":"6","key":"2944_CR24","doi-asserted-by":"publisher","first-page":"1561","DOI":"10.1016\/j.fertnstert.2015.08.039","volume":"104","author":"MM Hanstede","year":"2015","unstructured":"Hanstede MM, van der Meij E, Goedemans L, Emanuel MH. Results of centralized Asherman surgery, 2003\u20132013. Fertil Steril. 2015;104(6):1561\u20138e1.","journal-title":"Fertil Steril"},{"issue":"4","key":"2944_CR25","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1111\/1471-0528.13353","volume":"123","author":"JH Yang","year":"2016","unstructured":"Yang JH, Chen CD, Chen SU, Yang YS, Chen MJ. The influence of the location and extent of intrauterine adhesions on recurrence after hysteroscopic adhesiolysis. BJOG: Int J Obstet Gynecol. 2016;123(4):618\u201323.","journal-title":"BJOG: Int J Obstet Gynecol"},{"key":"2944_CR26","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.ejogrb.2019.02.030","volume":"238","author":"R Zhu","year":"2019","unstructured":"Zhu R, Gan L, Wang S, Duan H. A cohort study comparing the severity and outcome of intrauterine adhesiolysis for Asherman syndrome after first-or second-trimester termination of pregnancy. Eur J Obstet Gynecol Reproductive Biology. 2019;238:49\u201353.","journal-title":"Eur J Obstet Gynecol Reproductive Biology"},{"issue":"1","key":"2944_CR27","doi-asserted-by":"publisher","first-page":"66","DOI":"10.4103\/ijmy.ijmy_6_21","volume":"10","author":"T Fatima","year":"2021","unstructured":"Fatima T, Hasan R, Malik FR, Ahmed I, Bartlett LA, Gravett MG, et al. Female genital tuberculosis in Pakistan - A retrospective review of 10-year laboratory data and analysis of 32 cases. Int J Mycobacteriology. 2021;10(1):66\u201370.","journal-title":"Int J Mycobacteriology"},{"key":"2944_CR28","first-page":"418","volume":"63","author":"J Winfred","year":"1977","unstructured":"Winfred J. Female genital tuberculosis. J Obstet Gynecol. 1977;63:418\u201328.","journal-title":"J Obstet Gynecol"},{"key":"2944_CR29","unstructured":"Shargie EB. Trends, challenges and opportunities in tuberculosis control in rural Ethiopia. 2006."},{"issue":"3","key":"2944_CR30","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1016\/j.ijgo.2003.11.002","volume":"84","author":"M Abebe","year":"2004","unstructured":"Abebe M, Lakew M, Kidane D, Lakew Z, Kiros K, Harboe M. Female genital tuberculosis in Ethiopia. Int J Gynecol Obstet. 2004;84(3):241\u20136.","journal-title":"Int J Gynecol Obstet"},{"issue":"1","key":"2944_CR31","doi-asserted-by":"publisher","first-page":"39","DOI":"10.4103\/TJOG.TJOG_42_18","volume":"36","author":"N Utuk","year":"2019","unstructured":"Utuk N, Abasiattai A, Asuquo O. Intrauterine adhesions in the University of Uyo Teaching Hospital, Uyo, South\u2013South, Nigeria: a ten-year review. Trop J Obstet Gynecol. 2019;36(1):39\u201343.","journal-title":"Trop J Obstet Gynecol"},{"key":"2944_CR32","doi-asserted-by":"crossref","unstructured":"Morales B, Movilla P, Wang J, Wang J, Williams A, Chen T, et al. Patient reported menstrual and obstetrical outcomes following Hysteroscopic Adhesiolysis. for Asherman Syndrome. F&S Reports; 2021.","DOI":"10.1016\/j.xfre.2021.01.002"},{"issue":"6","key":"2944_CR33","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1016\/j.jmig.2015.08.679","volume":"22","author":"N Noel","year":"2015","unstructured":"Noel N, Isaacson K. Review of outcomes of Patients Treated for Intrauterine Adhesions with Office Hysteroscopy and hormone replacement therapy. J Minim Invasive Gynecol. 2015;22(6):184\u2013S5.","journal-title":"J Minim Invasive Gynecol"},{"issue":"6","key":"2944_CR34","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.jmig.2015.08.680","volume":"22","author":"B Dilbaz","year":"2015","unstructured":"Dilbaz B, Akpinar F, Altinbas S, Yilmaz S, Ozelci R, Dilbaz S. Reproductive Outcome of patients with Asherman\u2019s Syndrome after Hysteroscopic Adhesiolysis. J Minim Invasive Gynecol. 2015;22(6):185\u2013S6.","journal-title":"J Minim Invasive Gynecol"},{"issue":"3","key":"2944_CR35","doi-asserted-by":"publisher","first-page":"475","DOI":"10.3329\/bjms.v19i3.45865","volume":"19","author":"U Salma","year":"2020","unstructured":"Salma U. Menstrual pattern of severe intrauterine adhesion following hysteroscopy adhesiolysis. Bangladesh J Med Sci. 2020;19(3):475\u20139.","journal-title":"Bangladesh J Med Sci"},{"issue":"4","key":"2944_CR36","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1007\/s00404-017-4314-z","volume":"295","author":"J Zhao","year":"2017","unstructured":"Zhao J, Chen Q, Cai D, Duan Z, Li X, Xue X. Dominant factors affecting reproductive outcomes of fertility-desiring young women with intrauterine adhesions. Arch Gynecol Obstet. 2017;295(4):923\u20137.","journal-title":"Arch Gynecol Obstet"},{"issue":"2","key":"2944_CR37","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1016\/j.jmig.2016.10.018","volume":"24","author":"L Chen","year":"2017","unstructured":"Chen L, Zhang H, Wang Q, Xie F, Gao S, Song Y, et al. Reproductive outcomes in patients with intrauterine adhesions following hysteroscopic adhesiolysis: experience from the Largest women\u2019s Hospital in China. J Minim Invasive Gynecol. 2017;24(2):299\u2013304.","journal-title":"J Minim Invasive Gynecol"},{"issue":"5","key":"2944_CR38","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1007\/s13224-021-01523-9","volume":"71","author":"JB Sharma","year":"2021","unstructured":"Sharma JB, Sharma E, Sharma S, Dharmendra S. Recent advances in diagnosis and management of female genital tuberculosis. J Obstet Gynecol India. 2021;71(5):476\u201387.","journal-title":"J Obstet Gynecol India"},{"issue":"6","key":"2944_CR39","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1016\/j.tjog.2015.10.011","volume":"54","author":"MJ Kim","year":"2015","unstructured":"Kim MJ, Lee Y, Lee C, Chun S, Kim A, Kim HY, et al. Accuracy of three-dimensional ultrasound and treatment outcomes of intrauterine adhesion in infertile women. Taiwan J Obstet Gynecol. 2015;54(6):737\u201341.","journal-title":"Taiwan J Obstet Gynecol"},{"issue":"4","key":"2944_CR40","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/s12522-013-0149-x","volume":"12","author":"N Yamamoto","year":"2013","unstructured":"Yamamoto N, Takeuchi R, Izuchi D, Yuge N, Miyazaki M, Yasunaga M, et al. Hysteroscopic adhesiolysis for patients with Asherman\u2019s syndrome: menstrual and fertility outcomes. Reproductive Med Biology. 2013;12(4):159\u201366.","journal-title":"Reproductive Med Biology"},{"issue":"1","key":"2944_CR41","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.jmig.2018.12.023","volume":"27","author":"L Chen","year":"2020","unstructured":"Chen L, Xiao S, He S, Tian Q, Xue M. Factors that impact fertility after hysteroscopic adhesiolysis for intrauterine adhesions and amenorrhea: a retrospective cohort study. J Minim Invasive Gynecol. 2020;27(1):54\u20139.","journal-title":"J Minim Invasive Gynecol"},{"issue":"4","key":"2944_CR42","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1111\/jog.12297","volume":"40","author":"KK Roy","year":"2014","unstructured":"Roy KK, Negi N, Subbaiah M, Kumar S, Sharma JB, Singh N. Effectiveness of estrogen in the prevention of intrauterine adhesions after hysteroscopic septal resection: a prospective, randomized study. J Obstet Gynecol Res. 2014;40(4):1085\u20138.","journal-title":"J Obstet Gynecol Res"},{"issue":"3","key":"2944_CR43","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1159\/000010305","volume":"50","author":"AL Nasr","year":"2000","unstructured":"Nasr AL, Al-Inany HG, Thabet SM, Aboulghar M. A clinicohysteroscopic scoring system of intrauterine adhesions. Gynecol Obstet Invest. 2000;50(3):178\u201381.","journal-title":"Gynecol Obstet Invest"},{"issue":"12","key":"2944_CR44","doi-asserted-by":"publisher","first-page":"261","DOI":"10.31083\/j.ceog4912261","volume":"49","author":"X Cao","year":"2022","unstructured":"Cao X, Ding X. Complications when infusing massive distending medium in hysteroscopic surgery: a review of preventions and cures for operative hysteroscopy intravascular absorption syndrome (OHIA). Clin Exp Obstet Gynecol. 2022;49(12):261.","journal-title":"Clin Exp Obstet Gynecol"},{"issue":"3","key":"2944_CR45","first-page":"13","volume":"4","author":"S Nabi","year":"2022","unstructured":"Nabi S. Hysteroscopic complications. Eur J Med Health Sci. 2022;4(3):13\u20136.","journal-title":"Eur J Med Health Sci"},{"issue":"7","key":"2944_CR46","first-page":"501","volume":"50","author":"F C\u00e2ndido dos Reis","year":"2005","unstructured":"C\u00e2ndido dos Reis F, Nogueira A, Ferriani R. Routine office hysteroscopy in the investigation of infertile couples before assisted reproduction. J Reprod Med. 2005;50(7):501\u20136.","journal-title":"J Reprod Med"},{"issue":"3","key":"2944_CR47","doi-asserted-by":"publisher","first-page":"252","DOI":"10.5811\/cpcem.2019.4.41878","volume":"3","author":"MF Elegante","year":"2019","unstructured":"Elegante MF, Hamera JA, Xiao J, Berger DA. Operative hysteroscopy intravascular absorption syndrome causing hyponatremia with associated cerebral and pulmonary edema. Clin Pract Cases Emerg Med. 2019;3(3):252.","journal-title":"Clin Pract Cases Emerg Med"},{"issue":"2","key":"2944_CR48","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/S0301-2115(02)00106-9","volume":"104","author":"B Aydeniz","year":"2002","unstructured":"Aydeniz B, Gruber I, Schauf B, Kurek R, Meyer A, Wallwiener D. A multicenter survey of complications associated with 21 676 operative hysteroscopies. Eur J Obstet Gynecol Reproductive Biology. 2002;104(2):160\u20134.","journal-title":"Eur J Obstet Gynecol Reproductive Biology"},{"issue":"4","key":"2944_CR49","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1097\/00001703-200208000-00008","volume":"14","author":"LD Bradley","year":"2002","unstructured":"Bradley LD. Complications in hysteroscopy: prevention, treatment and legal risk. Curr Opin Obstet Gynecol. 2002;14(4):409\u201315.","journal-title":"Curr Opin Obstet Gynecol"},{"issue":"2","key":"2944_CR50","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1016\/j.jmig.2006.07.019","volume":"14","author":"D Shveiky","year":"2007","unstructured":"Shveiky D, Rojansky N, Revel A, Benshushan A, Laufer N, Shushan A. Complications of hysteroscopic surgery: beyond the learning curve. J Minim Invasive Gynecol. 2007;14(2):218\u201322.","journal-title":"J Minim Invasive Gynecol"},{"issue":"3","key":"2944_CR51","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1016\/S1074-3804(05)60401-X","volume":"9","author":"A Agostini","year":"2002","unstructured":"Agostini A, Cravello L, Bretelle F, Shojai R, Roger V, Blanc B. Risk of uterine perforation during hysteroscopic surgery. J Am Assoc Gynecol Laparosc. 2002;9(3):264\u20137.","journal-title":"J Am Assoc Gynecol Laparosc"}],"container-title":["BMC Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-024-02944-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12905-024-02944-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-024-02944-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T12:04:34Z","timestamp":1707307474000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcwomenshealth.biomedcentral.com\/articles\/10.1186\/s12905-024-02944-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,7]]},"references-count":51,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2944"],"URL":"https:\/\/doi.org\/10.1186\/s12905-024-02944-0","relation":{},"ISSN":["1472-6874"],"issn-type":[{"value":"1472-6874","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,7]]},"assertion":[{"value":"6 August 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Declaration of Helsinki\u2019s ethical guidelines were followed. The Ethical Review Board (ERB) of St. Paul\u2019s Hospital Millennium Medical College provided the ethical approval. Informed verbal consent was taken from the patients over the phone. The information was kept secret and anonymous. The Ethical Review Board of St. Paul\u2019s Hospital Millennium Medical College waived the requirement for informed written consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"99"}}