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Artikel ; Online: Office hysteroscopy in removing retained products of conception - a highly successful approach with minimal complications.

Jakopič Maček, Katja / Blaganje, Mija / Kenda Šuster, Nataša / Drusany Starič, Kristina / Kobal, Borut

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology

2019  Band 40, Heft 8, Seite(n) 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 (
Mesh-Begriff(e) 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
Sprache Englisch
Erscheinungsdatum 2019-12-03
Erscheinungsland England
Dokumenttyp 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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