Episode # 92 • 07 Oct 2025
Intrauterine Adhesions & Hysteroscopy: Management & Advancements
The future of gynecologic surgery is less invasive, more precise, and closer than you think. In this episode of the BackTable OBGYN podcast, host Dr. Mark Hoffman welcomes Dr. Noam Smorgick, Director of Minimally Invasive Gynecologic Surgery at Shamir Hospital in Israel. They discuss Dr. Smorgick’s journey into the field of OBGYN and her innovative approaches to intrauterine adhesion management and hysteroscopic surgery for complex pathologies.
Timestamps
00:00 - Introduction
02:05 - Dr. Smorgick’s Journey to Medicine
05:01 - Insights into Israeli Healthcare System
10:20 - Intrauterine Adhesions and Hysteroscopic Management
11:28 - Research on Retained Products of Conception
15:07 - Comparing Management of Pregnancy Loss
22:02 - Future Directions in Hysteroscopic Surgery
23:46 - Infertility Treatments in Israel
25:50 - Managing Uterine Septums and Adhesions
28:03 - Shared Decision Making in Surgery
32:03 - Techniques and Tools for Metroplasty
33:08 - Adhesion Prevention Strategies
35:35 - Postoperative Care and Follow-Up
36:59 - Office Hysteroscopy Procedures
38:05 - Reusable vs. Disposable Instruments
45:51 - Future of Hysteroscopy
Resources
- Netherlands Publication: Prevalence of intrauterine adhesions after the application of hyaluronic acid gel after dilatation and curettage in women with at least one previous curettage: short-term outcomes of a multicenter, prospective randomized controlled trial: https://pubmed.ncbi.nlm.nih.gov/28390688/
- Dr. Smorgick’s Publications: A comparison of reproductive outcomes following hysteroscopic management versus dilatation and curettage of retained products of conception: https://pubmed.ncbi.nlm.nih.gov/24997472/
- Hysteroscopy-assisted suction curettage for early pregnancy loss: does it reduce retained products of conception and postoperative intrauterine adhesions?: https://pubmed.ncbi.nlm.nih.gov/37782418/
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More about this episode
Topics include the advantages of hysteroscopic management over traditional methods, the importance of maintaining fertility, the nuances of the Israeli healthcare system, and the development of new surgical instruments and procedures. The episode also highlights shared decision-making in patient care and looks ahead to the future direction of gynecologic surgery. Dr. Smorgick shares insights from recent studies and her experiences, making it a valuable listen for practitioners and anyone interested in gynecologic surgery advancements.
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