Asherman syndrome is a rare acquired clinical condition resulting in the obliteration of the uterine cavity causedby the presence of partial or complete fibrous intrauterine adhesions involving at least two-thirds of the uterine cavity potentially obstructing the internal cervical orifice. Common reported symptoms of the disease are alterations of the menstrual pattern with decreased menstrual bleeding leading up to amenorrhoea and infertility. Hysteroscopy is currently considered the gold standard diagnostic and therapeutic approach for patients with intrauterine adhesions. An integrated approach, including preoperative, intraoperative and postoperative therapeutic measures, however, are warranted owing to the complexity of the syndrome. This review aims to summarize the most recent evidence on the recommended preoperative, intraoperative and postoperative procedures to restore the uterine cavity and a functional endometrium, as well as on the concomitant use of adjuvant therapies to achieve optimal fertility outcomes.

Asherman综合征是一种罕见的获得性临床疾病，由于部分或全部纤维性子宫内粘连的存在而导致子宫腔闭塞，其中至少三分之二的子宫腔可能阻塞了宫颈内孔。该病的常见报道症状是月经方式改变，月经减少，导致闭经和不孕。宫腔镜检查目前被认为是子宫内粘连患者的金标准诊断和治疗方法。然而，由于该综合症的复杂性，因此必须采取一种综合方法，包括术前，术中和术后的治疗措施。这篇综述旨在总结有关术前推荐的最新证据，