Journal ArticleDOI
Hysteroscopic management of retained products of conception: meta-analysis and literature review
TLDR
The lack of traditional curettage comparison groups in most studies precludes the conclusion that hysteroscopy is superior to traditional cureTTage, but this procedure does appear to have low complication rates, low rates of IUA, and high rates of subsequent pregnancies.About:
This article is published in European Journal of Obstetrics & Gynecology and Reproductive Biology.The article was published on 2014-02-01. It has received 88 citations till now. The article focuses on the topics: Curettage & Vaginal bleeding.read more
Citations
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Journal ArticleDOI
A comprehensive review of Asherman's syndrome: causes, symptoms and treatment options.
TL;DR: Increased awareness of the symptoms suggestive of intrauterine adhesive disease, as well as recognition of common causes and preceding events, is crucial for early diagnosis, patient counselling and treatment.
Journal ArticleDOI
Intrauterine adhesions after hysteroscopic treatment for retained products of conception: what are the risk factors?
TL;DR: Hysteroscopic treatment for RPOC had a 3.6% incidence of severe intrauterine adhesions formation in this descriptive series, suggesting women with RPOC occurring after delivery by cesarean section are particularly at risk for development of IUA.
Journal ArticleDOI
Intrauterine Morcellator Devices: The Icon of Hysteroscopic Future or Merely a Marketing Image? A Systematic Review Regarding Safety, Efficacy, Advantages, and Contraindications
Marco Noventa,Emanuele Ancona,Michela Quaranta,Amerigo Vitagliano,Erich Cosmi,Donato D'Antona,Salvatore Gizzo +6 more
TL;DR: The available evidence allows us to consider IUM devices as a safe, effective, and cost-effective tool for the removal of intrauterine lesions such as polyps, myomas (type 0 and type 1), and placental remnants.
Journal ArticleDOI
Hysteroscopic Morcellation Versus Loop Resection for Removal of Placental Remnants: A Randomized Trial.
Tjalina Hamerlynck,Huib A.A.M. van Vliet,Anne-Sophie Beerens,Steven Weyers,Benedictus C. Schoot +4 more
TL;DR: Hysteroscopic morcellation is a faster alternative than loop resection and both techniques are safe and show high rates of complete removal and tissue availability and low rates of de novo intrauterine adhesions.
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Surgical and Reproductive Outcomes after Hysteroscopic Removal of Retained Products of Conception: A Systematic Review and Meta-analysis.
Salvatore Giovanni Vitale,John Preston Parry,Jose Carugno,A. Cholkeri-Singh,Luigi Della Corte,Stefano Cianci,Antonio Schiattarella,Gaetano Riemma,Pasquale De Franciscis +8 more
TL;DR: Hysteroscopy has a high rate of completely removing RPOC in a single surgical step, with low complication rates, and subsequent fecundity seems reassuring, with appropriate clinical pregnancy and live birth rates.
References
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Journal ArticleDOI
Asherman syndrome—one century later
TL;DR: The management of moderate to severe disease still poses a challenge, and the prognosis of severe disease remains poor, so close antenatal surveillance and monitoring are necessary for women who conceive after treatment.
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Complications of hysteroscopy: a prospective, multicenter study.
Frank Willem Jansen,Corla B Vredevoogd,Karin Van Ulzen,Jo Hermans,J. Baptist Trimbos,Trudy C.M. Trimbos-Kemper +5 more
TL;DR: Diagnostic hysteroscopic procedures had very low complication rates, so are safe procedures with which to evaluate intrauterine pathology, and Operative hysteroscopic operations were more risky, but the removal of polyps had a very high complication rate.
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Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial (miscarriage treatment (MIST) trial)
TL;DR: The incidence of gynaecological infection after surgical, expectant, and medical management of first trimester miscarriage is low, and no evidence exists of a difference by the method of management, but significantly more unplanned admissions and unplanned surgical curettage occurred after expectant management and medicalManagement.
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Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeat curettage for incomplete abortion.
TL;DR: Based on findings, hysteroscopy is recommended only in those patients who develop menstrual disorders, either after secondary intervention for placental remnants after delivery or after a repeat curettage, and risk factors associated with the presence of intrauterine adhesions are evaluated.
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A randomized controlled trial comparing medical and expectant management of first trimester miscarriage
TL;DR: Medical management using 600 microg misoprostol vaginally is more effective than expectant management of early pregnancy failure and patient acceptability was superior to expectants management.