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J Minim Invasive Gynecol. 2009 Jul-Aug;16(4):487-90. doi: 10.1016/j.jmig.2009.04.011.

Hysteroscopic management of residual trophoblastic tissue and reproductive outcome: a pilot study.

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1
University of Paris-Sud, Clamart, France. erika.faivre@abc.aphp.fr

Abstract

We report on the feasibility, efficiency, and reproductive outcomes of hysteroscopic resection of late residual trophoblastic tissue in 50 patients in an observational study over 6 years. Complete evacuation of the uterus was achieved in all patients by hysteroscopy. The median operative time was 21 (15-30) min. Only one surgical complication was registered: a uterine perforation in a patient with previous metroplasty. Hysteroscopic resection of persistent trophoblastic tissue seems to be a safe and efficient procedure that could be proposed as an alternative to conventional non-selective blind curettage. We would also recommend systematic second-look hysteroscopy to asess the exact prevalence of post-procedure intrauterine adhesions.

PMID:
19573826
DOI:
10.1016/j.jmig.2009.04.011
[Indexed for MEDLINE]
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