Operative hysteroscopy for retained products of conception: Efficacy and subsequent fertility - 02/03/19
, Anina Lobersztajn a, Laura Duminil a, Tiphaine Barral a, Anne-Gaëlle Pourcelot a, c, Hervé Fernandez a, b, cBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Retained product of conception complicates nearly 1% of pregnancies and can lead to synechiae and compromise ulterior fertility. The aim of this study is to evaluate efficiency of operative hysteroscopy in management of retained products of conception (RPOC). Secondary objectives are assessments of intra-uterine adhesions rate and later fertility.
This unicentric retrospective study includes women who undertook an operative hysteroscopy for retained products of conception between January 2012 and March 2014. Assessment of the efficiency of operative hysteroscopy is defined by a complete resection of retained products of conception confirmed by office hysteroscopy.
One hundred fourteen women were included in the study. Efficiency of operative hysteroscopy for retained products of conception is 91% for women with a postoperative office hysteroscopy. The authors observed a 7.5% rate of postoperative intra-uterine adhesions. Fertility rate was 83% (30 women out of 36 with a desired pregnancy).
Hysteroscopic resection of retained products of conception is an efficient procedure and seems to be a real alternative.
Le texte complet de cet article est disponible en PDF.Keywords : Hysteroscopy, Retained product of conception, Intra-uterine adhesions, Fertility, Placental retention, Trophoblastic retention
Plan
Vol 48 - N° 3
P. 151-154 - mars 2019 Retour au numéro
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