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"See and treat" hysteroscopy after missed abortion
David Kuzel1, Petr Horak, Lucie Hrazdirova
1Department of Obstetrics and Gynaecology, Charles University, First Faculty of Medicine and General Faculty Hospital, Prague, Czech Republic.
Abstract:
A prospective study was conducted on the incidence of intrauterine pathology after missed abortion diagnosed and treated by hysteroscopy. A hysteroscopy was performed in 100 women four to 12 weeks after a dilatation and curettage for missed abortions. Uterine malformations were found in 12 patients, intrauterine adhesions in seven and submucous myoma in two cases. As a side finding four cases of asymptomatic retained products of conception were found. Most cases of the intrauterine pathology were treated instantly by hysteroscopy, "see and treat" regimen was preferred. Post-missed abortion-hysteroscopy is a simple and useful method for early diagnosis and treatment of congenital and acquired intrauterine pathology.
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