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What is new in this report? Substantial progress has been made since publishing previous practice guidelines on intrauterine adhesions (IUAs) [1]. Large-scale series, although retrospective, have reported clinical outcomes. Randomized controlled trials (RCTs) have investigated both primary and secondary adhesion prevention including solid and semi-solid barriers, although individual surgical techniques have not been rigorously studied. Recent human studies documenting successful pregnancy outcomes for bone marrow-derived stem cell (BMDSC) treatments following intermittent hysteroscopy are reported. This may provide a new avenue for research, although high quality data demonstrating efficacy are required before being introduced as a treatment option for women with symptomatic IUAs (Asherman syndrome). In order to encourage their wide dissemination, these guidelines are freely accessible on the GYNS and JMIG websites.

gynecological surgery$bprint/gynecological surgery

AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)