Hysteroscopic morcellator used in the diagnosis and evacuation of retained products of conception

Teresa Tam, Stephanie Estes

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Retained products of conception (RPOC) cause patients to have many symptoms that are often confusing to diagnose and treat. Surgical intervention with dilation and curettage, or hysteroscopic resection utilizing a resectoscope, is commonly performed. Case: A 32-year-old gravida 3, para 3, presented at Penn State Milton S. Hershey Medical Center, Hershey, PA, after a failed hysteroscopic removal of an intrauterine mass at a prior institution. The patient had persistent vaginal bleeding, pelvic discomfort, and dyspareunia after an uncomplicated cesarean delivery. Results: Successful removal of the large endometrial mass was accomplished with a hysteroscopic morcellator under ultrasound guidance. Pathology revealed necrotic placental tissue and chronic endometritis. As of this writing, the patient is doing well with normal menstrual cycles. Conclusions: This is the first case to describe a hysteroscopic morcellator used to assist with the removal of retained products of conception. Hysteroscopic morcellation is a safe and effective method used to completely remove retained products of conception. (J GYNECOL SURG 29:332)

Original languageEnglish (US)
Pages (from-to)332-335
Number of pages4
JournalJournal of Gynecologic Surgery
Volume29
Issue number6
DOIs
StatePublished - Dec 1 2013

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Dyspareunia
Endometritis
Curettage
Uterine Hemorrhage
Menstrual Cycle
Dilatation
Pathology
Morcellation

All Science Journal Classification (ASJC) codes

  • Surgery
  • Obstetrics and Gynecology

Cite this

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Hysteroscopic morcellator used in the diagnosis and evacuation of retained products of conception. / Tam, Teresa; Estes, Stephanie.

In: Journal of Gynecologic Surgery, Vol. 29, No. 6, 01.12.2013, p. 332-335.

Research output: Contribution to journalArticle

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AU - Estes, Stephanie

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AB - Background: Retained products of conception (RPOC) cause patients to have many symptoms that are often confusing to diagnose and treat. Surgical intervention with dilation and curettage, or hysteroscopic resection utilizing a resectoscope, is commonly performed. Case: A 32-year-old gravida 3, para 3, presented at Penn State Milton S. Hershey Medical Center, Hershey, PA, after a failed hysteroscopic removal of an intrauterine mass at a prior institution. The patient had persistent vaginal bleeding, pelvic discomfort, and dyspareunia after an uncomplicated cesarean delivery. Results: Successful removal of the large endometrial mass was accomplished with a hysteroscopic morcellator under ultrasound guidance. Pathology revealed necrotic placental tissue and chronic endometritis. As of this writing, the patient is doing well with normal menstrual cycles. Conclusions: This is the first case to describe a hysteroscopic morcellator used to assist with the removal of retained products of conception. Hysteroscopic morcellation is a safe and effective method used to completely remove retained products of conception. (J GYNECOL SURG 29:332)

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