{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:35:26Z","timestamp":1753893326857,"version":"3.41.2"},"reference-count":8,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T00:00:00Z","timestamp":1690502400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To introduce an effective approach using the hysteroscopy system for patients with old uterine false passage after a failed conservative treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>This study presents the case of a 34-year-old woman who was treated in the Department of Gynecology of Shenzhen Integrated Traditional Chinese and Western Medicine Hospital in 2018 with the complaint of \u201cmenstrual volumereduction for 2 years after abortion.\u201d A hysteroscopy was performed to make a clear diagnosis: (1) uterine cavity adhesion and (2) old uterine false passage. After the separation of adhesions, the patient was treated with estradiol and progesterone in sequence (estradiol valerate 3 mg, b.i.d., oral for 21 days; and dydrogesterone tablets 10 mg, b.i.d., oral for the second half of the cycle) for 3 months. After the review of the hysteroscopy results, it was found that there was no improvement in the old false passage; therefore, a suture and knotting surgery under hysteroscopy was performed to treat the old false passage in the uterus within 10 min, and the intraoperative blood loss was 2 ml. The patient was discharged 24 h postoperatively without any adverse perioperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two months after the operation, the review of the hysteroscopy results showed that the old false passage in the uterus disappeared. After the 6-month follow-up, the menstrual volume increased compared with the previous one, close to the normal menstrual volume, and the patient experienced no pain and menstrual discomfort. The patient was lost to follow-up and was contacted again in 2022. It was found out that in 2019, she was pregnant with a baby boy who is now 3 years old and healthy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The intrauterine suture surgery presents a clear visual \ufb01eld to old uterine false passage after a failed conservative treatment. In patients with old uterine false passage suffering from reduced fertility, the intrauterine suture surgery can be a minimally invasive and effective alternative if the conservative treatment for old uterine false passage failed.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2023.1193961","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T13:41:27Z","timestamp":1690551687000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case report: The intrauterine suture surgery\u2014an original method in the treatment of old uterine false passage"],"prefix":"10.3389","volume":"10","author":[{"given":"Xiaolei","family":"Song","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Re","family":"Na","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nianghai","family":"Peng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenming","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Ke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunlin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"62","DOI":"10.3868\/j.issn.2095.1558.2022.02.011","article-title":"Treatment and follow-up experience of 1 case of hysteroscopic intrauterine device suture fixation","volume":"12","author":"Xiaolei","year":"2022","journal-title":"Obstet Gynecol Genet"},{"key":"B2","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1590\/s1679-45082012000300012","article-title":"Hysteroscopic endometrial polypectomy: outpatient versus conventional treatment","volume":"10","author":"Bergamo","year":"2012","journal-title":"Einstein (Sao Paulo)"},{"key":"B3","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1016\/j.fertnstert.2004.08.031","article-title":"Hysteroscopic polypectomy in 240 premenopausal and postmenopausal women","volume":"83","author":"Preutthipan","year":"2005","journal-title":"Fertil Steril"},{"key":"B4","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/s1074-3804(96)80106-x","article-title":"Experience with 800 hysteroscopic endometrial ablations","volume":"4","author":"Vilos","year":"1996","journal-title":"J Am Assoc Gynecol Laparosc"},{"key":"B5","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1016\/0002-9378(78)90116-3","article-title":"Diagnostic and therapeutic hysteroscopy for traumatic intrauterine adhesions","volume":"131","author":"Sugimoto","year":"1978","journal-title":"Am J Obstet Gynecol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1016\/j.fertnstert.2007.06.034","article-title":"Postoperative adhesiolysis therapy for intrauterine adhesions (Asherman's syndrome)","volume":"90","author":"Robinson","year":"2008","journal-title":"Fertil Steril"},{"key":"B7","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.jmig.2013.07.018","article-title":"Efficacy of estrogen therapy in patients with intrauterine adhesions: systematic review","volume":"21","author":"Johary","year":"2014","journal-title":"J Minim Invasive Gynecol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"64","DOI":"10.3969\/j.issn.1009-6604.2015.01.018","article-title":"Application of ultrasound combined with hysteroscopy in the diagnosis of old uterine false passage","volume":"15","author":"Fengxian","year":"2015","journal-title":"Chin J Minim Invasive Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2023.1193961\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T13:41:35Z","timestamp":1690551695000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2023.1193961\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,28]]},"references-count":8,"alternative-id":["10.3389\/fsurg.2023.1193961"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2023.1193961","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2023,7,28]]},"article-number":"1193961"}}