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Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage  Ciaran A. Goojha, M.D., Allison Case, M.D.,

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Presentation on theme: "Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage  Ciaran A. Goojha, M.D., Allison Case, M.D.,"— Presentation transcript:

1 Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage  Ciaran A. Goojha, M.D., Allison Case, M.D., Roger Pierson, M.S., Ph.D.  Fertility and Sterility  Volume 94, Issue 3, Pages 1098.e e5 (August 2010) DOI: /j.fertnstert Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Illustration of B-Lynch suture.
Reproduced with permission from B-Lynch et al. Br J Obstet Gynaecol 1997;104:372–5 Fertility and Sterility  , 1098.e e5DOI: ( /j.fertnstert ) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 Ultrasound image of the uterus in saggital plane. The cervix is to the right of the image and the fundus is seen to the left. Collagen reaction from B-Lynch suture visible within myometrium (arrow). Fertility and Sterility  , 1098.e e5DOI: ( /j.fertnstert ) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

4 Figure 3 Uterine artery located with Doppler and measured ultrasound. Uterine artery diameter <50% of normal value bilaterally. Fertility and Sterility  , 1098.e e5DOI: ( /j.fertnstert ) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

5 Figure 4 Doppler ultrasound examination of endometrial cavity. Minimal perfusion to endometrium. Fertility and Sterility  , 1098.e e5DOI: ( /j.fertnstert ) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions


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