See-and-treat in-office hysteroscopy versus operative hysteroscopy for the treatment of retained products of conception: a retrospective study
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- dc.contributor.author Raz, Nili
- dc.contributor.author Sigal, Emiliya
- dc.contributor.author González Arjona, Fernando
- dc.contributor.author Calidona, Carmelo
- dc.contributor.author Garzon, Simone
- dc.contributor.author Uccella, Stefano
- dc.contributor.author Laganà, Antonio Simone
- dc.contributor.author Haimovich Segal, Sergio Mario
- dc.date.accessioned 2022-11-18T07:28:59Z
- dc.date.available 2022-11-18T07:28:59Z
- dc.date.issued 2022
- dc.description.abstract Aim: to compare the efficacy and safety of in-office hysteroscopy with a see-and-treat approach with that of operative hysteroscopy for the treatment of retained products of conception (RPOC). Methods: we retrospectively identified all consecutive patients who underwent hysteroscopic treatment of RPOC between 2015 and 2019. We excluded patients with RPOC larger than 2 cm at preoperative transvaginal ultrasounds. Between 2015 and 2017, all hysteroscopic removals of RPOC were performed by operative hysteroscopy. Between 2018 and 2019, all cases of RPOC less than 2 cm in size were hysteroscopically removed by the see-and-treat approach in the office setting. Sociodemographic, clinical, and procedure characteristics along with complications were retrieved from medical records. Results: between 2015 and 2019, 119 women underwent hysteroscopic removal of RPOC equal to or smaller than 2 cm: 53 patients by in-office hysteroscopy, and 66 by operative hysteroscopy. The two groups were similar in preoperative characteristics. Although the time required to complete the RPOC removal was similar, the total procedure and assistant time were significantly higher in the operative hysteroscopy group (p < 0.001). Moreover, operative hysteroscopy was associated with a higher proportion of cases complicated by excessive bleeding, cervical tear, or uterine perforation (p = 0.016). Failure to complete the procedure was similarly reported in the two groups (p = 0.58). Conclusions: in-office hysteroscopy with the see-and-treat approach for RPOC equal to or smaller than 2 cm appears as effective as operative hysteroscopy, but safer. In-office hysteroscopy may be considered the first choice for treating RPOC equal to or smaller than 2 cm.
- dc.format.mimetype application/pdf
- dc.identifier.citation Raz N, Sigal E, Gonzalez Arjona F, Calidona C, Garzon S, Uccella S, et al. See-and-treat in-office hysteroscopy versus operative hysteroscopy for the treatment of retained products of conception: a retrospective study. J Obstet Gynaecol Res. 2022 Sep; 48(9): 2459-65. DOI: 10.1111/jog.15327
- dc.identifier.doi http://dx.doi.org/10.1111/jog.15327
- dc.identifier.issn 1341-8076
- dc.identifier.uri http://hdl.handle.net/10230/54915
- dc.language.iso eng
- dc.publisher Wiley
- dc.rights © 2022. Raz N, Sigal E, Gonzalez Arjona F, Calidona C, Garzon S, Uccella S, et al. Journal of Obstetrics and Gynaecology Research published by John Wiley & Sons Australia, Ltd 2459 on behalf of Japan Society of Obstetrics and Gynecology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, http://creativecommons.org/licenses/by-nc/4.0/ which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
- dc.subject.keyword Hysteroscopy
- dc.subject.keyword In-office setting
- dc.subject.keyword Operative room
- dc.subject.keyword Retained products of conception
- dc.subject.keyword See-and-treat
- dc.title See-and-treat in-office hysteroscopy versus operative hysteroscopy for the treatment of retained products of conception: a retrospective study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion