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

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Noam SmorgickZvi Vaknin

Abstract

Hysteroscopic removal of retained products of conception (RPOC) may allow complete removal of RPOC and decreased rates of intrauterine adhesions (IUA) when compared to the traditional blind curettage. The aim of this meta-analysis is to examine the current evidence regarding the use of hysteroscopy for treatment of RPOC. A literature search was conducted in December 2012 using MEDLINE and ClinicalTrials. The study selection criteria were use of the standard hysteroscopic technique for removal of RPOC in 5 or more cases, in any study design. We reviewed 11 studies, of which 5 retrospective studies met the selection criteria (comprising 326 cases). The rates of incomplete RPOC removal, surgical complications, post-operative IUA and subsequent pregnancies were abstracted and weighted events rates using a fixed meta-analysis model were calculated. Only one study compared the rates of IUA following hysteroscopy and curettage, precluding a meta-analysis comparison of the two techniques. There were no cases of incomplete RPOC removal. Three perioperative complications occurred (uterine perforation, infection, and vaginal bleeding). IUA on follow-up hysteroscopy were found in 4/96 women (weighted rate of 5.7%, 95% CI 2.4%, 13.0%). Of t...Continue Reading

References

Dec 1, 1994·European Journal of Obstetrics, Gynecology, and Reproductive Biology·T Römer
Jul 26, 2000·Obstetrics and Gynecology·F W JansenT C Trimbos-Kemper
May 9, 2001·The Journal of the American Association of Gynecologic Laparoscopists·S B CohenM Goldenberg
Apr 15, 2008·Fertility and Sterility·Dan YuTin-Chiu Li
May 5, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jesús S JiménezJosé L Muñoz
Jul 4, 2009·Journal of Minimally Invasive Gynecology·Erika FaivreHervé Fernandez
Jan 5, 2011·Journal of Minimally Invasive Gynecology·Abraham GolanRon Sagiv
Oct 26, 2011·Journal of Minimally Invasive Gynecology·Daniel T ReinMartina Breidenbach

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Citations

Oct 1, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ido Ben-AmiReuvit Halperin
Oct 25, 2016·Journal of Minimally Invasive Gynecology·Deborah E IkhenaMary Ellen G Pavone
Oct 25, 2016·Journal of Minimally Invasive Gynecology·Tjalina W O HamerlynckBenedictus C Schoot
Oct 19, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Teresa TamLourdes Juarez
Jun 6, 2017·Current Opinion in Obstetrics & Gynecology·Christina A SalazarStephanie Morris
Jun 10, 2018·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Kemal OzgurKevin Coetzee
Sep 27, 2018·Gynecology and Minimally Invasive Therapy·Noam SmorgickZvi Vaknin
Dec 26, 2018·Case Reports in Obstetrics and Gynecology·Neveta S V Sutherland, Hemashree Rajesh
Dec 23, 2016·Cardiovascular and Interventional Radiology·Paul BazeriesChristophe Aubé
Aug 8, 2020·The Journal of Obstetrics and Gynaecology Research·Shimpei ShitanakaEiji Kondoh
Jul 20, 2019·Archives of Gynecology and Obstetrics·Noam SmorgickMoty Pansky
Sep 17, 2020·The Journal of Obstetrics and Gynaecology Research·Congqing LiWenyan Wang
Nov 10, 2020·Journal of Minimally Invasive Gynecology·Salvatore Giovanni VitalePasquale De Franciscis
Mar 11, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Yoshimitsu WadaHiroyuki Fujiwara
Apr 4, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Arava NirNoam Smorgick
Dec 16, 2018·Journal of Gynecology Obstetrics and Human Reproduction·Perrine CapmasHervé Fernandez
May 6, 2021·Journal of Minimally Invasive Gynecology·Shiri WeinbergOshri Barel
Jun 22, 2021·Current Opinion in Obstetrics & Gynecology·Golnaz NamaziNisse V Clark
Sep 2, 2021·Acta Obstetricia Et Gynecologica Scandinavica·Meir PomeranzNissim Arbib
Nov 10, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Cassandra TaylorSamantha Mooney

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