Repeat curettage after evacuation of hydatidiform mole. An appraisal.
In the management of patients with molar pregnancy, a repeat uterine curettage is generally advocated after evacuation of the hydatidiform mole. To assess the usefulness of a repeat curettage, we reviewed our experience with this procedure over an 8-year period. We found that it was unnecessary in 90% of the cases and did not predict or influence the outcome in all but one case of invasive mole. We feel that the procedure is not cost-effective and should be reserved for patients with specific indications such as incomplete evacuation and abnormal uterine bleeding.
D006063:Chorionic Gonadotropin / Q000097:blood; D003362:Cost-Benefit Analysis; D004107:Dilatation and Curettage / Q000191:economics; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000601:surgery*; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000601:surgery*; D014619:Vacuum Curettage / Q000191:economics
D006063:Chorionic Gonadotropin