Sutherland Neveta S V, Rajesh Hemashree
Department of Obstetrics and Gynaecology, Victoria Jubilee Hospital, Kingston, Jamaica.
Centre for Assisted Reproduction and Endocrinology, Singapore General Hospital, Outram Road, Singapore.
Case Rep Obstet Gynecol. 2018 Nov 21;2018:1536801. doi: 10.1155/2018/1536801. eCollection 2018.
The management of retained products of conception (RPOC) may be medical or surgical. Surgical options include blind curettage, ultrasound guided curettage, or curettage under direct vision via hysteroscopy. The definitive management of patients presenting with retained products of conception will depend on several factors: severity of bleeding, presence of hemodynamic instability or infection, and patient preference. Optimal management of retained products of conception should result in complete evacuation of the uterine cavity while minimizing endometrial trauma. This is of utmost importance in patients with reproductive desires. We report patients with RPOC managed via hysteroscopic removal using the Bigatti Morcellator. Both patients had complete evacuation of the visualized RPOC. The purpose of this paper is to present this approach as an effective management option particularly in patients with a history of subfertility and failed blind curettage.
稽留流产组织物残留（RPOC）的处理方式可分为药物治疗或手术治疗。手术选择包括盲目刮宫、超声引导下刮宫，或通过宫腔镜直视下刮宫。对于出现稽留流产组织物残留的患者，最终的处理方式将取决于几个因素：出血的严重程度、是否存在血流动力学不稳定或感染，以及患者的偏好。稽留流产组织物残留的最佳处理应在使子宫内膜创伤最小化的同时，实现宫腔的完全清空。这对于有生育意愿的患者至关重要。我们报告了通过使用Bigatti旋切器经宫腔镜切除治疗稽留流产组织物残留的患者。两名患者均实现了可视稽留流产组织物的完全清除。本文的目的是介绍这种方法，作为一种有效的处理选择，尤其是对于有不孕病史且盲目刮宫失败的患者。
