A Novel Ultrasound‐Guided Technique for Hysteroscopic Adhesiolysis in High‐Risk Patients

Hysteroscopy is a common gynecologic surgical procedure. Certain diagnoses, notably intrauterine adhesions and cervical stenosis, make hysteroscopy more complicated because of an increased likelihood of complications. Three patients, 1 with cervical stenosis and 2 with Asherman syndrome, underwent ultrasound (US)‐guided adhesiolysis. Access to the uterine cavity was obtained by either direct balloon‐aided dilation or the US‐guided Seldinger technique, followed by balloon‐aided dilation to enter the endometrial cavity and disrupt intrauterine/intracervical adhesions. In this case series, we describe a novel approach of using US‐guided balloon dilation to safely and effectively treat intrauterine adhesions and to decrease the risk of perforation.