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Gynecol Minim Invasive Ther. 2019 Jan-Mar;8(1):33-35. doi: 10.4103/GMIT.GMIT_66_18. Epub 2019 Jan 23.

Surgical Management of Retained Placental Tissue with the Hysteroscopic Morcellation Device.

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1
Department of Obstetrics and Gynecology, Queen Elizabeth Hospital, Kowloon, Hong Kong.

Abstract

Conventionally, surgical management of retained placental tissue is largely performed using blind dilatation and curettage. Hysteroscopic removal using diathermy loop has been shown to be successful while increasing complete removal rates and reducing risk of uterine perforation. Our two cases demonstrated that complete removal of placental tissues can be achieved with hysteroscopic morcellation device which is known to be associated with less operative time and less operative risk compared to diathermy loop. Preoperative transamin can reduce intraoperative bleeding, while careful preparation must be made for bleeding immediately after the procedure when the hysteroscope is withdrawn and distended uterus slowly contracts.

KEYWORDS:

Hysteroscopy; hysteroscopic tissue removal; retained placenta

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