Hysteroscopic management of retained products of conception: meta-analysis and literature review

Smorgick, Noam; Barel, Oshri; Fuchs, Noga; Ben‐Ami, Ido; Pansky, Moty; Vaknin, Zvi

doi:10.1016/j.ejogrb.2013.11.020

Cited by 104 publications

(80 citation statements)

References 14 publications

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“…Further studies have subsequently shown relatively low rates of postoperative adhesions using the operative hysteroscopy technique for treatment of RPOC after delivery and abortion (4)(5)(6). Our group recently evaluated the rates of IUA after hysteroscopy in a systematic literature review (7). Although IUAs were found to be relatively rare after hysteroscopy for treatment of RPOC (occurring in approximately 4% of cases), the available studies were insufficient to determine superiority over traditional curettage.…”

mentioning

confidence: 99%

Intrauterine adhesions after hysteroscopic treatment for retained products of conception: what are the risk factors?

Barel

Krakov

Pansky

et al. 2015

Fertility and Sterility

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mentioning

confidence: 99%

Intrauterine adhesions after hysteroscopic treatment for retained products of conception: what are the risk factors?

Barel

Krakov

Pansky

et al. 2015

Fertility and Sterility

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“…Previous reviews have addressed the topic of reproductive outcome after treatment of RPOC [23,24]. Both reviews identified only cohort studies and no randomised trials.…”

Section: Discussionmentioning

confidence: 99%

Fertility outcome after treatment of retained products of conception: a systematic review

et al. 2018

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“…The majority of cases of RPOC are now managed by hysteroscopy [8], which is proven to be superior to dilatation and evacuation regarding the risk of incomplete evacuation, subsequent intra-uterine adhesions and reproductive outcomes [9,10]. Literature regarding the reproductive outcomes following hysteroscopy versus curettage for RPOC is not lacking [10,11].…”

Section: Introductionmentioning

confidence: 99%

Pregnancies Following Hysteroscopic Removal of Retained Products of Conception after Delivery Versus Abortion

Herman

Kogan

Tairy

et al. 2018

Gynecol Obstet Invest

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Aim: To compare clinical variables, sonographic findings and pregnancy outcomes following the hysteroscopic removal of retained products of conception (RPOC) after delivery and abortion. Methods: This is a retrospective cohort of operative hysteroscopies performed between 2011 and 2015 for suspected RPOC, during which trophoblastic tissue was obtained. Patient demographics, clinical presentation, sonographic evaluation, subsequent infertility and pregnancy outcomes were compared between post-delivery (n = 85) and post-abortion (n = 93) cases. Results: The main presenting symptom in both study groups was vaginal bleeding. On sonographic evaluation, maximal endometrial thickness was significantly higher in the post-delivery group, while irregularity and increased flow were more common in the post-abortion group. There was a similar rate of deliveries following hysteroscopy in both groups with 40% in the post-delivery group and 39.7% in the post-abortion group. Deliveries in the post-delivery group were characterized by a higher rate of abnormal placentation – 30.5% – including low lying placenta and placenta accreta. A significant rate of vaginal deliveries in both groups entailed manual removal of the placenta or exploration of the uterine cavity (23.5 and 10.5%, p = 0.20). Conclusion: Pregnancies following RPOC after delivery entail a higher rate of abnormal placentation.

show abstract

Hysteroscopic management of retained products of conception: meta-analysis and literature review

Cited by 104 publications

References 14 publications

Intrauterine adhesions after hysteroscopic treatment for retained products of conception: what are the risk factors?

Intrauterine adhesions after hysteroscopic treatment for retained products of conception: what are the risk factors?

Fertility outcome after treatment of retained products of conception: a systematic review

Pregnancies Following Hysteroscopic Removal of Retained Products of Conception after Delivery Versus Abortion

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