Hysteroscopic management of residual trophoblastic tissue and reproductive outcome: a pilot study.
We report on the feasibility, efficiency, and reproductive outcomes of hysteroscopic resection of late residual trophoblastic tissue in 50 patients in an observational study over 6 years. Complete evacuation of the uterus was achieved in all patients by hysteroscopy. The median operative time was 21 (15-30) min. Only one surgical complication was registered: a uterine perforation in a patient with previous metroplasty. Hysteroscopic resection of persistent trophoblastic tissue seems to be a safe and efficient procedure that could be proposed as an alternative to conventional non-selective blind curettage. We would also recommend systematic second-look hysteroscopy to asess the exact prevalence of post-procedure intrauterine adhesions.
Faivre
Erika
E
University of Paris-Sud, Clamart, France. erika.faivre@abc.aphp.fr
Deffieux
Xavier
X
Mrazguia
Chaouki
C
Gervaise
Amélie
A
Chauveaud-Lambling
Aurélia
A
Frydman
René
R
Fernandez
Hervé
H
D000022:Abortion, Spontaneous; D000032:Abortion, Therapeutic / Q000009:adverse effects; D000328:Adult; D004107:Dilatation and Curettage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D010865:Pilot Projects; D011247:Pregnancy; D018873:Pregnancy Rate; D011644:Puerperal Disorders; D000267:Tissue Adhesions; D014327:Trophoblasts / Q000473:pathology*