scholarly journals The Intrauterine Bigatti Shaver System: An Alternative Option for Focal Retained Products of Conception

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Neveta S. V. Sutherland ◽  
Hemashree Rajesh
Keyword(s):  
Uterine Cavity ◽  
Hemodynamic Instability ◽  
Effective Management ◽  
Ultrasound Guided ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
History Of ◽  
Surgical Options ◽  
Definitive Management ◽  
Retained Products

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.

scholarly journals A CASE REPORT ON EFFECTIVE MANAGEMENT OF RETAINED PRODUCT OF CONCEPTION THROUGH AYURVEDA REGIMEN

2021 ◽  
pp. 23-28
Author(s):  
Khushboo Jha ◽  
K. Bharathi ◽  
Sonu ◽  
M.S. Anu
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Female Patient ◽  
Pregnancy Termination ◽  
Modern Medicine ◽  
Effective Management ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Retained Products

The term retained products of conception (RPOC) refers to intrauterine tissue that develops after conception and persists after medical and surgical pregnancy termination, miscarriage, and vaginal or cesarean delivery. Approximately half of the conceptions are not even recognized 10- 15% is lost during 1st trimester and additional 2-3% is lost in later pregnancy. The word abortion means expulsion from the uterus of the product of conception before the fetus is viable. This period of viability is different in different views. In modern medicine the period of viability is taken as 7 months. In Ayurveda this abortion is mentioned with the name of Garbhasrava or Garbhapata. A 30 yr old female patient came to NIA opd with a complaint of heavy bleed continously since 1 month. On examination it was found, she has taken MTP pill from local clinic. D and C was done though she was getting her bleed continously. Then, she came to NIA opd for futher management and was given Dashmool Kwatha, Ajmodadi Churna, Triphala Guggulu and Prataplankeshwar ras for 7 days. Then the patient was advised for USG which revealed no retained product of conception.

scholarly journals Intrauterine retention of fetal bones, a cause for secondary infertility

2019 ◽  
Vol 8 (10) ◽  
pp. 4101
Author(s):  
Anil Humane ◽  
Nikita Agrawal
Keyword(s):  
Diagnostic Technique ◽  
Contraceptive Device ◽  
Rare Entity ◽  
Secondary Infertility ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Intrauterine Contraceptive ◽  
History Of ◽  
The Common ◽  
Retained Products

Secondary infertility due to retained products of conception in the form of fetal bones is a rare entity. It is usually associated with a history of abortion, either spontaneous or induced. The bony fragments probably act as an intrauterine contraceptive device to stimulate the secretion of endometrial prostaglandins, resulting in secondary infertility. The common symptoms include menstrual disturbances, pelvic pain, dyspareunia, vaginal discharge, spontaneous passage of fetal bones and infertility. Advanced diagnostic technique like hysteroscopy has helped in the diagnosis.

scholarly journals OC51: Transvaginal ultrasound-guided evacuation of retained products of conception

2006 ◽  
Vol 28 (4) ◽  
pp. 373-374
Author(s):  
C. C. T. Lee ◽  
J. Ben-Nagi ◽  
D. Ofili-Yebovi ◽  
J. Ross ◽  
D. Jurkovic
Keyword(s):  
Transvaginal Ultrasound ◽  
Ultrasound Guided ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Retained Products

scholarly journals Correlation of ultrasound with histopathology for retained products of conception in medically managed abortions

2017 ◽  
Vol 6 (8) ◽  
pp. 3372
Author(s):  
Namita Chopra ◽  
Manpreet Kaur ◽  
Manjit Kaur Mohi
Keyword(s):  
Predictive Value ◽  
Endometrial Thickness ◽  
Transvaginal Ultrasound ◽  
Uterine Cavity ◽  
High Sensitivity ◽  
Medical Abortion ◽  
P Value ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Retained Products

Background: Medical abortion uses an anti-progestin, mifepristone (RU486), followed by a prostaglandin (misoprostol). Objective of present study was to correlate findings of transvaginal ultrasound with histopathology for retained products of conception in medical abortions.Methods: An observational, prospective study was conducted on hundred women with gestation upto 12 weeks who underwent medical abortion with excessive or prolonged post abortal vaginal bleeding. Transvaginal scan followed by uterine evacuation was done under anesthesia, followed by histopathology.Results: Analysis was done statistically using Pearson Chi- square method. Sixty five percent subjects took MTP pill by unsupervised, self-intake and 35% on prescription. Among women who took misoprostol in dose of 400mcg, 89% had RPOC on histopathology. At the dose of 800 mcg, 73.3% had retained Products of Conception (RPOC) on histopathology. The correlation was found to be statistically non-significant (p value at 5% was 1.13). Ultrasound showed echogenic mass in the uterine cavity in 62 (62%) women, increased endometrial thickness ≥10mm in 13 (13%), gestational sac with no fetal pole in 6 (6%), blood clots in uterine cavity in 6 (6%), and empty uterine cavity in 3 (3%). Seventy five percent of women had histologically proven RPOC at endometrial cut off of equal to or greater than 10mm. The sensitivity, specificity, positive and negative predictive value of transvaginal ultrasonography in detection of retained products of conception were 92%, 60%, 87.3%, 71.4% respectively. The diagnostic accuracy was 84%.Conclusions: Transvaginal ultrasound for detecting retained products of conception in medically managed abortions has a high sensitivity and positive predictive value and is useful for screening women with clinically suspected incomplete abortion who require further intervention -medical or surgical.

scholarly journals Subinvolution of the placental site as the cause of hysterectomy in young woman

2021 ◽  
Vol 14 (2) ◽  
pp. e238945
Author(s):  
Olga Triantafyllidou ◽  
Stavroula Kastora ◽  
Irini Messini ◽  
Dimitrios Kalampokis
Keyword(s):  
Young Woman ◽  
Young Women ◽  
Postpartum Haemorrhage ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Fertility Sparing ◽  
Placental Site ◽  
Retained Products

Subinvolution of placental sites (SPSs) is a rare but severe cause of secondary postpartum haemorrhage (PPH). SPS is characterised by the abnormal persistence of large, dilated, superficially modified spiral arteries in the absence of retained products of conception. It is an important cause of morbidity and mortality of young women. In this study, we present a case of secondary PPH in a young woman after uncomplicated caesarean delivery who was deemed clinically unstable, and finally, underwent emergent total abdominal hysterectomy. We reviewed the literature with an emphasis on the pathophysiology of this situation. Treatment of patients with SPS includes conservative medical therapy, hysterectomy and fertility-sparing percutaneous embolotherapy.

scholarly journals Overview of Neo-Vascular Lesions after Delivery or Miscarriage

2021 ◽  
Vol 10 (5) ◽  
pp. 1084
Author(s):  
Yuji Shiina
Keyword(s):  
Arteriovenous Malformations ◽  
Uterine Artery ◽  
Spontaneous Regression ◽  
Vascular Diseases ◽  
Vascular Lesions ◽  
Artery Pseudoaneurysm ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Uterine Artery Pseudoaneurysm ◽  
Retained Products

The concept of intrauterine neo-vascular lesions after pregnancy, initially called placental polyps, has changed gradually. Now, based on diagnostic imaging, such lesions are defined as retained products of conception (RPOC) with vascularization. The lesions appear after delivery or miscarriage, and they are accompanied by frequent abundant vascularization in the myometrium attached to the remnant. Many of these vascular lesions have been reported to resolve spontaneously within a few months. Acquired arteriovenous malformations (AVMs) must be considered in the differential diagnosis of RPOC with vascularization. AVMs are errors of morphogenesis. The lesions start to be constructed at the time of placenta formation. These lesions do not show spontaneous regression. Although these two lesions are recognized as neo-vascular lesions, neo-vascular lesions on imaging may represent conditions other than these two lesions (e.g., peritrophoblastic flow, uterine artery pseudoaneurysm, and villous-derived malignancies). Detecting vasculature at the placenta–myometrium interface and classifying vascular diseases according to hemodynamics in the remnant would facilitate the development of specific treatments.

Sign in / Sign up

Export Citation Format

Share Document