title: Use of a hysteroscopic morcellator to resect miscarriage in a woman with recurrent Asherman's syndrome.
abstract: Uterine curettage may result in formation of intrauterine adhesions, which can predispose to recurrent miscarriage [1]. Herein is presented a video case report of a 24-year-old woman with recurrent miscarriages and recurrent intrauterine adhesions after treatment of non-progressive pregnancies. Targeted intrauterine pregnancy tissue removal using a hysteroscopic morcellator was performed to reduce the risk of adhesion recurrence. Successful removal of products of conception, without subsequent adhesion formation, and an ongoing viable pregnancy followed. Selective targeted removal of products of conception may offer some advantage to women with a predisposition to recurrent Asherman's syndrome.
authors.affiliation: Royal Hospital for Women, Department of Obstetrics and Gynecology, Sydney, Australia (both authors). Electronic address: margaret.harpham@sesiahs.health.nsw.gov.au.
authors.forename: Margaret
authors.initials: M
authors.lastname: Harpham
authors.affiliation: Royal Hospital for Women, Department of Obstetrics and Gynecology, Sydney, Australia (both authors).
authors.forename: Jason
authors.initials: J
authors.lastname: Abbott
mesh_terms: D000026:Abortion, Habitual / Q000601:surgery*; D004107:Dilatation and Curettage / Q000295:instrumentation / Q000379:methods; D005260:Female; D006175:Gynatresia / Q000150:complications / Q000601:surgery*; D006801:Humans; D015907:Hysteroscopy / Q000295:instrumentation / Q000379:methods; D011247:Pregnancy; D012008:Recurrence; D000267:Tissue Adhesions / Q000150:complications / Q000601:surgery; D014591:Uterine Diseases / Q000150:complications / Q000601:surgery*; D055815:Young Adult
keywords: Asherman's syndrome; Hysteroscopic morcellator; Intrauterine adhesions; Recurrent miscarriage; Targeted tissue removal