title: Evaluation of fertility after operative hysteroscopy to remove retained products of conception.
abstract: Evaluation of fertility after operative hysteroscopy to remove retained products of conception.
  
  
  OBJECTIVE
  To study fertility after operative hysteroscopy for the management of prolonged trophoblastic retention, and the complications of this procedure.
  
  
  METHODS
  Retrospective cohort in a university hospital.
  
  
  RESULTS
  115 patients underwent operative hysteroscopy for the treatment of prolonged post-partum and post-abortum retention between January 2008 and December 2011. Of the 115 patients included in this study, 53 desired a postoperative pregnancy. Using the survival model, the conception rate was 71.1% (95%CI; 58.1-82.9) at 6 months and 83.5% (95%CI; 71.8-92.2) at 1year. The overall rate of intraoperative complications was 15%. The rate of complications≥grade 3 was 5%. Logistic regression analysis showed that only retentions of greater than 25mm were associated with complications generally (aOR=7.4; 95%CI; 2.3-24.5) and with Clavien-Dindo complications≥grade 3 (OR=27.2; 95%CI; 2.8-263).
  
  
  CONCLUSIONS
  The management of prolonged retention by operative hysteroscopy allows the preservation of future fertility. There are more complications when the retentions are >25mm.
authors.affiliation: Service de Gynécologie-Obstétrique, Centre Hospitalier Intercommunal de Poissy Saint Germain, 10 rue du Champ Gaillard, 78300 Poissy, France. Electronic address: louise_sonnier@yahoo.fr.
authors.forename: Louise
authors.initials: L
authors.lastname: Sonnier
authors.affiliation: Service de Gynécologie-Obstétrique, Centre Hospitalier Intercommunal de Poissy Saint Germain, 10 rue du Champ Gaillard, 78300 Poissy, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Torre
authors.affiliation: Service de Gynécologie-Obstétrique, Centre Hospitalier Intercommunal de Poissy Saint Germain, 10 rue du Champ Gaillard, 78300 Poissy, France.
authors.forename: Pauline
authors.initials: P
authors.lastname: Broux
authors.affiliation: Service de Gynécologie-Obstétrique, Centre Hospitalier Intercommunal de Poissy Saint Germain, 10 rue du Champ Gaillard, 78300 Poissy, France; EA 7285, Risques Cliniques et Sécurité en Santé des Femmes,Université Versailles Saint Quentin en Yvelines, Faculté de Médecine, Versailles, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Fauconnier
authors.affiliation: Service de Gynécologie-Obstétrique, Centre Hospitalier Intercommunal de Poissy Saint Germain, 10 rue du Champ Gaillard, 78300 Poissy, France; EA 7285, Risques Cliniques et Sécurité en Santé des Femmes,Université Versailles Saint Quentin en Yvelines, Faculté de Médecine, Versailles, France.
authors.forename: Cyrille
authors.initials: C
authors.lastname: Huchon
mesh_terms: D000328:Adult; D005260:Female; D005298:Fertility; D006801:Humans; D015907:Hysteroscopy; D010298:Parity; D018457:Placenta, Retained / Q000601:surgery*; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D055815:Young Adult
keywords: Fertility; Operative hysteroscopy; Residual trophoblastic tissue