Operative hysteroscopy for retained products of conception: Efficacy and subsequent fertility.
Fertility
Hysteroscopy
Intra-uterine adhesions
Placental retention
Retained product of conception
Trophoblastic retention
Journal
Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
18
06
2018
revised:
11
12
2018
accepted:
12
12
2018
pubmed:
16
12
2018
medline:
8
6
2019
entrez:
16
12
2018
Statut:
ppublish
Résumé
Retained product of conception complicates nearly 1% of pregnancies and can lead to synechiae and compromise ulterior fertility. The aim of this study is to evaluate efficiency of operative hysteroscopy in management of retained products of conception (RPOC). Secondary objectives are assessments of intra-uterine adhesions rate and later fertility. This unicentric retrospective study includes women who undertook an operative hysteroscopy for retained products of conception between January 2012 and March 2014. Assessment of the efficiency of operative hysteroscopy is defined by a complete resection of retained products of conception confirmed by office hysteroscopy. One hundred fourteen women were included in the study. Efficiency of operative hysteroscopy for retained products of conception is 91% for women with a postoperative office hysteroscopy. The authors observed a 7.5% rate of postoperative intra-uterine adhesions. Fertility rate was 83% (30 women out of 36 with a desired pregnancy). Hysteroscopic resection of retained products of conception is an efficient procedure and seems to be a real alternative.
Identifiants
pubmed: 30553048
pii: S2468-7847(18)30251-4
doi: 10.1016/j.jogoh.2018.12.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
151-154Informations de copyright
Copyright © 2018. Published by Elsevier Masson SAS.