What is it about?
This case report demonstrates hysteroscopic evacuation of retained products of conception involving an infertile patient with a large intrauterine hematoma and adenomyosis.
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Why is it important?
Retained products of conception (RPOC) could be encountered after spontaneous abortion or elective termination, and after normal vaginal or caesarean delivery. RPOC may also be encountered after suction dilation and curettage (D&C) for early first trimester miscarriages. Hysteroscopic-directed resection allows for selective removal of RPOC and endometrial pathology, sparing the rest of the intrauterine cavity. Compared to conventional D&C, hysteroscopy involves less endometrial trauma resulting in less intrauterine adhesions and better fertility outcomes
Perspectives
A significant benefit of hysteroscopic removal of RPOC is the reduction of intrauterine adhesions from selective hysteroscopic curettage as compared to blind D&C. Infertility patients may also benefit from hysteroscopic removal of RPOC, since it has been associated with a shorter time interval to conception signifying improved reproductive outcomes.
Dr. Teresa Tam
Prime Healthcare St. Francis Hospital
Read the Original
This page is a summary of: Hysteroscopic evacuation of retained products of conception, Journal of Obstetrics and Gynaecology, October 2016, Taylor & Francis,
DOI: 10.1080/01443615.2016.1233948.
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