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Published in: BMC Women's Health 1/2023

Open Access 01-12-2023 | Ultrasound | Research

Hysteroscopy for retained products of conception: a single-institution experience

Authors: Ling Han, Gang Shi, Ai Zheng, Jiaying Ruan

Published in: BMC Women's Health | Issue 1/2023

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Abstract

Background

Retained products of conception can occur with induced abortion during early-term pregnancy, induction of labor during mid-term pregnancy, drug-induced abortion, miscarriage, cesarean delivery, or full-term normal delivery. Compared with traditional dilation and curettage, hysteroscopy is a safer and more effective treatment method for retained products of conception. This study aimed to report the efficacy of hysteroscopy for treating retained products of conception and to share our new clinical perspectives.

Methods

This retrospective, single-center study was conducted at a tertiary hospital in Chengdu, China. We included 36 patients with retained products of conception who underwent hysteroscopy at our hospital.

Results

Our study reported a complete removal rate of 80.5% (29/36) with one procedure. The normal menstruation recovery rate during 1 year of follow-up was 91.6% (33/36). A low rate of postoperative intrauterine adhesions (2.8% [1/36]) was also reported.

Conclusion

Our retrospective study elucidated the use of hysteroscopy for retained products of conception. We also shared new perspectives regarding hysteroscopy and optimal surgical methods for treating retained products of conception as well as our experience treating residual products with hysteroscopy. To our knowledge, no other study has shared similar experiences.
Literature
1.
go back to reference Chen W, Zhang Z, Liu X. Delayed surgical and non-surgical treatment of placental remnants: no difference was found in the clinical efficacy and long-term pregnancy outcomes. Ther Clin Risk Manag. 2018;14:1205–12.CrossRef Chen W, Zhang Z, Liu X. Delayed surgical and non-surgical treatment of placental remnants: no difference was found in the clinical efficacy and long-term pregnancy outcomes. Ther Clin Risk Manag. 2018;14:1205–12.CrossRef
2.
go back to reference Namazi G, Haber HR, Tavcar J, Clark NV. Minimally invasive management of retained products of conception and the adherent placenta. Curr Opin Obstet Gynecol. 2021;33:311–6. Namazi G, Haber HR, Tavcar J, Clark NV. Minimally invasive management of retained products of conception and the adherent placenta. Curr Opin Obstet Gynecol. 2021;33:311–6.
3.
go back to reference Ansari SH, Bigatti G, Aghssa MM. Operative hysteroscopy with the Bigatti shaver (IBS ®) for the removal of placental remnants. Facts Views Vis Obgyn. 2018;10:153–9. Ansari SH, Bigatti G, Aghssa MM. Operative hysteroscopy with the Bigatti shaver (IBS ®) for the removal of placental remnants. Facts Views Vis Obgyn. 2018;10:153–9.
4.
go back to reference Deffieux X, Gauthier T, Menager N, Legendre G, Agostini A, Pierre F, et al. Hysteroscopy: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol. 2014;178:114–22.CrossRef Deffieux X, Gauthier T, Menager N, Legendre G, Agostini A, Pierre F, et al. Hysteroscopy: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol. 2014;178:114–22.CrossRef
5.
go back to reference Aas-Eng MK, Langebrekke A, Hudelist G. Complications in operative hysteroscopy—is prevention possible? Acta Obstet Gynecol Scand. 2017;96:1399–403.CrossRef Aas-Eng MK, Langebrekke A, Hudelist G. Complications in operative hysteroscopy—is prevention possible? Acta Obstet Gynecol Scand. 2017;96:1399–403.CrossRef
6.
go back to reference Hooker AB, Aydin H, Brolmann HA, Huirne JA. Long-term complications and reproductive outcome after the management of retained products of conception: a systematic review. Fertil Steril. 2016;105(156–64):e1-2. Hooker AB, Aydin H, Brolmann HA, Huirne JA. Long-term complications and reproductive outcome after the management of retained products of conception: a systematic review. Fertil Steril. 2016;105(156–64):e1-2.
7.
go back to reference Vitale SG, Parry JP, Carugno J, Cholkeri-Singh A, Della Corte L, Cianci S, et al. Surgical and reproductive outcomes after hysteroscopic removal of retained products of conception: a systematic review and meta-analysis. J Minim Invasive Gynecol. 2021;28:204–17.CrossRef Vitale SG, Parry JP, Carugno J, Cholkeri-Singh A, Della Corte L, Cianci S, et al. Surgical and reproductive outcomes after hysteroscopic removal of retained products of conception: a systematic review and meta-analysis. J Minim Invasive Gynecol. 2021;28:204–17.CrossRef
8.
go back to reference Rein DT, Schmidt T, Hess AP, Volkmer A, Schöndorf T, Breidenbach M. Hysteroscopic management of residual trophoblastic tissue is superior to ultrasound-guided curettage. J Minim Invasive Gynecol. 2011;18:774–8.CrossRef Rein DT, Schmidt T, Hess AP, Volkmer A, Schöndorf T, Breidenbach M. Hysteroscopic management of residual trophoblastic tissue is superior to ultrasound-guided curettage. J Minim Invasive Gynecol. 2011;18:774–8.CrossRef
9.
go back to reference Van Wessel S, Coryn N, van Vliet H, Schoot B, Weyers S, Hamerlynck T. Reproductive and obstetric outcomes after hysteroscopic removal of retained products of conception. J Minim Invasive Gynecol. 2020;27:840–6.CrossRef Van Wessel S, Coryn N, van Vliet H, Schoot B, Weyers S, Hamerlynck T. Reproductive and obstetric outcomes after hysteroscopic removal of retained products of conception. J Minim Invasive Gynecol. 2020;27:840–6.CrossRef
10.
go back to reference Hamerlynck TW, van Vliet HA, Beerens AS, Weyers S, Schoot BC. Hysteroscopic morcellation versus loop resection for removal of placental remnants: a randomized trial. J Minim Invasive Gynecol. 2016;23:1172–80.CrossRef Hamerlynck TW, van Vliet HA, Beerens AS, Weyers S, Schoot BC. Hysteroscopic morcellation versus loop resection for removal of placental remnants: a randomized trial. J Minim Invasive Gynecol. 2016;23:1172–80.CrossRef
11.
go back to reference Sorrentino F, De Feo V, Stabile G, Tinelli R, D’Alterio MN, Nappi L, et al. Cesarean scar pregnancy treated by artery embolization combined with diode laser: a novel approach for a rare disease. Medicina (Kaunas). 2021;57:411.CrossRef Sorrentino F, De Feo V, Stabile G, Tinelli R, D’Alterio MN, Nappi L, et al. Cesarean scar pregnancy treated by artery embolization combined with diode laser: a novel approach for a rare disease. Medicina (Kaunas). 2021;57:411.CrossRef
12.
go back to reference Raz N, Sigal E, Gonzalez Arjona F, Calidona C, Garzon S, Uccella S, et al. See-and-treat in-office hysteroscopy versus operative hysteroscopy for the treatment of retained products of conception: a retrospective study. J Obstet Gynaecol Res. 2022;48:2459–65.CrossRef Raz N, Sigal E, Gonzalez Arjona F, Calidona C, Garzon S, Uccella S, et al. See-and-treat in-office hysteroscopy versus operative hysteroscopy for the treatment of retained products of conception: a retrospective study. J Obstet Gynaecol Res. 2022;48:2459–65.CrossRef
13.
go back to reference Guan D, Wang J, Zong L, Li S, Zhang YZ. Acquired uterine arteriovenous fistula due to a previous cornual pregnancy with placenta accreta: a case report. Exp Ther Med. 2017;13:2801–4.CrossRef Guan D, Wang J, Zong L, Li S, Zhang YZ. Acquired uterine arteriovenous fistula due to a previous cornual pregnancy with placenta accreta: a case report. Exp Ther Med. 2017;13:2801–4.CrossRef
14.
go back to reference Hong W, Wang BY, Wu ZP, Gao F, Li SD, Li XC. Systematic retrospective analysis of 13 cases of uterine arteriovenous fistula: pathogeny, diagnosis, treatment and follow-up. J Obstet Gynaecol Res. 2020;46:1117–27.CrossRef Hong W, Wang BY, Wu ZP, Gao F, Li SD, Li XC. Systematic retrospective analysis of 13 cases of uterine arteriovenous fistula: pathogeny, diagnosis, treatment and follow-up. J Obstet Gynaecol Res. 2020;46:1117–27.CrossRef
Metadata
Title
Hysteroscopy for retained products of conception: a single-institution experience
Authors
Ling Han
Gang Shi
Ai Zheng
Jiaying Ruan
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2023
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-023-02170-0

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