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Updated: Jul 17, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
[From the Cochrane Library: both expectant management and curettage are suitable options in case of miscarriage]
J V T H Hamerlynck1, M Wieringa-de Waard, S Middledorp
1Academisch Medisch Centrum/Universiteit van Amsterdam, Dutch Cochrane Centre, J1B-108, Postbus 22.660, 1100 DD Amsterdam. j.v.hamerlynck@amc.uva.nl
Abstract:
A Cochrane systematic review of 5 randomised clinical trials compared the safety and efficacy of expectant management versus curettage for early foetal loss. The expectant-care group was more likely to have an incomplete miscarriage, a need of unplanned curettage, and bleeding. In contrast, curettage was associated with a significantly higher risk ofinfection. Given the lack of clear superiority of either approach, the woman's preference should play a dominant role in reaching a decision.

