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Hysteroscopic resection of abnormally invasive placenta residuals
Michelle Nisolle1, Katty Delbecque, Sophie Perrier D'Hauterive
1Department of Obstetrics and Gynecology, University of Liège, Liège, Belgium.
Objective:
To present our experience in hysteroscopic removal of abnormally invasive placenta (AIP) residuals using bipolar energy.
Design:
Case series.
Setting:
University hospital.
Population:
Sixteen patients with AIP residuals after 17 pregnancies.
Methods:
Cases were identified by ultrasound, treated with hysteroscopic bipolar electrosurgery and oral contraceptives, and followed up by ultrasound or hysteroscopy. Nine subsequent pregnancies were described.
Main Outcome Measures And Results:
Complete removal of AIP residuals was achieved by hysteroscopic bipolar electrosurgery in all cases except one. No perioperative complications occurred. AIP residual recurred in one patient after a subsequent pregnancy and was successfully treated using the same procedure.
Conclusions:
AIP residual is a rare condition. Management by hysteroscopic resection using bipolar energy is safe and feasible.
