Article ; Online: Office hysteroscopy in removing retained products of conception - a highly successful approach with minimal complications.
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
2019 Volume 40, Issue 8, Page(s) 1122–1126
Abstract: Data of 101 patients with retained products of conception (RPOC), treated with office hysteroscopy (OH) from 2012 to 2015 at the University Medical Centre Ljubljana were analysed. Patients with >30 mm RPOC thickness or strong vascularisation on ... ...
| Abstract | Data of 101 patients with retained products of conception (RPOC), treated with office hysteroscopy (OH) from 2012 to 2015 at the University Medical Centre Ljubljana were analysed. Patients with >30 mm RPOC thickness or strong vascularisation on ultrasound (US) were excluded. Procedures were successfully completed in 94/101 (93%). Mean duration was 18 min (4-60), patient pain estimation with VAS was 2.3 (0-8). No intraoperative complications > Grade II according to Clavien-Dindo classification occurred. Uncompleted cases were safely referred to procedures in general anaesthesia. Follow-up after one month was performed in 78/101 (77%) patients with OH (69) or US (9). Only three patients reported endometritis, three cases of intrauterine adhesions were related to curettage or pre-existing adhesions. We compared preoperative findings of completed and uncompleted cases. Larger size of RPOC and the presence of irregular tissue-myometrial border on US was statistically significantly higher in uncompleted OH ( |
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| MeSH term(s) | Adult ; Ambulatory Surgical Procedures/methods ; Female ; Humans ; Hysteroscopy/methods ; Operative Time ; Placenta/diagnostic imaging ; Placenta/pathology ; Placenta/surgery ; Placenta, Retained/diagnostic imaging ; Placenta, Retained/pathology ; Placenta, Retained/surgery ; Pregnancy ; Pregnancy Complications/diagnostic imaging ; Pregnancy Complications/pathology ; Pregnancy Complications/surgery ; Retrospective Studies ; Treatment Outcome ; Ultrasonography | |||||
| Language | English | |||||
| Publishing date | 2019-12-03 | |||||
| Publishing country | England | |||||
| Document type | Evaluation Study ; Journal Article | |||||
| ZDB-ID | 604639-3 | |||||
| ISSN | 1364-6893 ; 0144-3615 | |||||
| ISSN (online) | 1364-6893 | |||||
| ISSN | 0144-3615 | |||||
| DOI | 10.1080/01443615.2019.1679736 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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