Mohamed Ibrahim Mohamed Amer
Ain Shams University, Egypt
Mohamed Ibrahim Mohamed Amer has completed his MD from Ain Shams University and Postdoctoral studies from Ain Shams Maternity Hospitals Ain Shams University School of Medicine. He is the Manager of Early cancer detection and endoscopy unit, Ain Shams University. He has published more than 15 papers in reputed journals and has got Young scientist award in Asia Ociena Federation of Obstetrics and Gynecology AOFOG at TOKYO 2007. He has been a Trainer in many workshops in laparoscopy, Hysteroscopy and Colposcopy. He supervised more than 80 theses of MD and Master Degrees.
Objective: To evaluate the changes in sub-endometrial blood flow and endometrial volume after hysteroscopic lysis of severe intrauterine adhesions (IUAs). Design: A pilot observational study. Forty infertile women with severe IUAs served as their own controls and were included in this study only once, to avoid selection bias. Intervention: Three-dimensional power Doppler ultrasound was performed in all patients 1 day before hysteroscopic lysis of severe IUA and repeated 1 month later, to assess sub-endometrial blood flow [as measured by vascularization index (VI), flow index (FI), and vascularization flow index (VFI)] and endometrial volume. Main outcome measures were sub-endometrial blood flow (VI, FI,VFI) and endometrial volume. Results: There were statistically significant postoperative increases in endometrial volume, VI, FI, and VFI. Sub-endometrial blood flow improved in 14 women (35%) and menstrual improvement occurred in 15 women (37.5%). Conclusion: Hysteroscopic lysis of severe IUAs improves sub-endometrial blood flow, with subsequent increases in endometrial volume.