Original Article

Gynecological Surgery

, Volume 7, Issue 2, pp 163-166

The use of a hysteroscopic resectoscope for repeat evacuation of retained products of conception procedures: a case series

  • J. D. M. NicopoullosAffiliated withDepartment of Gynaecology, Chelsea & Westminster Foundation Trust Email author 
  • , A. TreharneAffiliated withDepartment of Gynaecology, Chelsea & Westminster Foundation Trust
  • , A. RazaAffiliated withDepartment of Gynaecology, Chelsea & Westminster Foundation Trust
  • , R. RichardsonAffiliated withDepartment of Gynaecology, Chelsea & Westminster Foundation Trust

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Abstract

The blind nature of the surgical management of retained products of conception allows for a significant risk of uterine perforation or the need for repeat evacuation and subsequent morbidity due to a failed procedure. These risks may be increased postpartum or at a repeat surgical procedure. We present a case series of five patients with clinical, sonographic, or histological diagnosis of retained products of conception following either failed surgical evacuation or postpartum. All were treated surgically without complication using the loop of a saline hysteroscopic resectoscope to allow removal under direct vision of retained tissue.

Keywords

Hysteroscopy Miscarriage Retained products of conception