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Office intrauterine morcellation for retained products of conception.
- Source :
-
Minimally Invasive Therapy & Allied Technologies . Dec2023, Vol. 32 Issue 6, p323-328. 6p. - Publication Year :
- 2023
-
Abstract
- Proposing hysteroscopic morcellation (HM) as a surgical-therapeutic approach in the treatment of retained products of conception (RPOC) to prevent intrauterine adhesions (IUAs). Prospective analysis. A teaching and university hospital. Women with RPOC. Office -HM with 'Truclear 5 C'. Twenty-two consecutive patients presenting with trophoblastic residue retention after miscarriage and interruption of pregnancy or placenta remnants after cesarean section or delivery were enrolled. These women underwent office-HM with 'Truclear 5 C'. Primary outcomes were median time and rate of hospitalization. The quality of the specimen was also analyzed. A hysteroscopic second look for IUAs was performed. Mean procedure time was six minutes (SD ± 5). Tissue samples had a mean collection size 2.5 cm3+0.9. 38% of the samples had spotting or abnormal vaginal discharge. Dilatation of the cervical canal was not performed in any case. Second-look hysteroscopy did not show any de novo IUAs in any of the enrolled patients. In the hysteroscopic treatment of RPOC, HM is a valid choice in an office setting without the use of cervical dilatation. Removal of RPOC was uneventful in all cases, simple and carried out faster without any adverse outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TISSUE adhesions
*ACADEMIC medical centers
*PLACENTA diseases
*MISCARRIAGE
*LAPAROSCOPIC surgery
*UTERINE diseases
*ABORTION
*PREGNANCY complications
*DESCRIPTIVE statistics
*LABOR complications (Obstetrics)
*HYSTEROSCOPY
*CESAREAN section
*DELIVERY (Obstetrics)
*LONGITUDINAL method
*WOMEN'S health
Subjects
Details
- Language :
- English
- ISSN :
- 13645706
- Volume :
- 32
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Minimally Invasive Therapy & Allied Technologies
- Publication Type :
- Academic Journal
- Accession number :
- 174320693
- Full Text :
- https://doi.org/10.1080/13645706.2023.2227694