Hysteroembryoscopy and hysteroscopic uterine evacuation of early pregnancy loss: A feasible procedure in selected cases

Catena, Ursula; D'Ippolito, S; Campolo, F; Dinoi, Giorgia; Lanzone, A; Scambia, Giovanni

doi:10.52054/fvvo.14.2.020

Facts Views Vis ObGyn

2022

DOI: 10.52054/fvvo.14.2.020

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Hysteroembryoscopy and hysteroscopic uterine evacuation of early pregnancy loss: A feasible procedure in selected cases

Ursula Catena¹,

S D'Ippolito²,

F Campolo³

et al.

Abstract: Hysteroscopic uterine evacuation of early pregnancy loss using tissue removal devices seems to be a safe and feasible procedure in selected cases. The hysteroscopic approach allows the precise localisation of the gestational sac inside the uterine cavity. The endoscopic approach allows one to perform hysteroembryoscopy before uterine evacuation and this technique appears to be more accurate than dilatation & curettage for fetal chromosome karyotyping, with lower maternal cell contamination. This “under vis… Show more

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2024

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Cited by 2 publications

References 25 publications

(34 reference statements)

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A case of exaggerated placental site treated with hysteroscopy

Calzolari,

Comito,

Andresson

et al. 2024

AboutOpen

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Exaggerated placental site (EPS) is a benign lesion that can occur in association with term pregnancy, ectopic pregnancy, molar pregnancy, intrauterine fetal death or miscarriage. The characteristics of EPS are described in several case reports and have been reported after major surgery such as hysterectomy. We describe the hysteroscopic characteristic of EPS associated with a spontaneous miscarriage. Hysteroscopic inspection of the uterine cavity revealed copious tissue with increased vascularization without signs of invasion. No cleavage was visualized between material and myometrium could be established during the resection procedure. 40 days after hysteroscopy the patient became pregnant. The pregnancy proceeded without complications and during the cesarean section no residual placenta-related abnormal site appearance was noted on inspection of the uterine wall. The hysteroscopic treatment could be considered feasible to preserve future fertility in young women in cases of suspect non-malignant trophoblastic disease.

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A case of exaggerated placental site treated with hysteroscopy

Calzolari,

Comito,

Andresson

et al. 2024

AboutOpen

View full text Add to dashboard Cite

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Case report: A rare but fatal complication of hysteroscopy—air embolism during treatment for missed abortion

Ou,

Li,

Tang

et al. 2024

Front. Med.

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Hysteroscopic procedures complicated by air embolism (AE) are exceptionally rare occurrences in clinical practice, and there have been no previously reported cases of AE associated with hysteroscopic dilation and curettage. While the overall incidence of this complication is low, the consequences can be devastating. During early pregnancy, the unique physiological changes, such as elevated hormonal levels and increased uterine blood supply, significantly heighten the risk of AE development. Therefore, the prompt recognition of early signs and symptoms, coupled with the implementation of timely and effective interventions, are crucial to improve patient survival rates and minimize the risk of long-term sequelae. This case report presents the characteristic clinical manifestations and imaging findings associated with AE, providing a valuable clinical reference for obstetricians and gynecologists to recognize this rare yet potentially life-threatening complication of hysteroscopic procedures. Early detection and appropriate management are essential to optimize patient outcomes and prevent catastrophic consequences.

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Hysteroembryoscopy and hysteroscopic uterine evacuation of early pregnancy loss: A feasible procedure in selected cases

Cited by 2 publications

References 25 publications

A case of exaggerated placental site treated with hysteroscopy

A case of exaggerated placental site treated with hysteroscopy

Case report: A rare but fatal complication of hysteroscopy—air embolism during treatment for missed abortion

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