Guided Conservative Hysteroscopic Evacuation of Early Miscar
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According to a recent study by The Journal of Minimally Invasive Gynecology, Under-vision Hysteroscopic morcellation is useful and safe in early missed abortion.

The was purposed to evaluate initial feasibility and experience with guided hysteroscopic morcellation for uterine evacuation of early miscarriage.

Women with confirmed early miscarriage at a gestational age of under 10 weeks from the last menstrual period were included. Data including the length of the procedure, visibility, complete evacuation, bleeding, complications, and follow-up ultrasound were recorded.

--The mean time of the procedure was 24 minutes. A complete evacuation was recorded in all cases. No adverse events were recorded in any of the ten procedures.

--Normal uterine cavity without evidence of retained products of conception (RPOC) was documented in follow-up evaluation by ultrasound in all cases.

--Four patients underwent a follow-up office hysteroscopy that demonstrated a normal cavity without evidence of adhesions.

--In four cases, an additional suction curettage was performed immediately after the hysteroscopic procedure due to obscured visibility or abnormal ultrasound scan at the end of the procedure. However, RPOC was found in only one of these four suction specimens.

Conclusively, under-vision Hysteroscopic morcellation seems to be a safe and feasible technique for the management of early missed abortion. This method may have the potential as an innovative treatment of miscarriage in selected cases.

Source: https://doi.org/10.1016/j.jmig.2021.04.017
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