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Removal of Retained Adherent Placental Remnants Using the Hysteroscopy Endo-Operative System
Ke-An Zhu1, Huan Huang1, Min Xue1
1Department of Gynecology, Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
The Hysteroscopy Endo-Operative System (HEOS) safely and efficiently removes large retained placental remnants. This minimally invasive technique offers a quick solution with no complications, preserving fertility.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Reproductive Medicine
Background:
- Retained adherent placental remnants (RAPRs) can be challenging to remove with standard hysteroscopic forceps.
- Large placental remnants pose a particular difficulty for traditional instruments.
Observation:
- A case study involving a 32-year-old woman with RAPRs post-spontaneous abortion.
- Sonography revealed a significant intrauterine mass requiring intervention.
Findings:
- The Hysteroscopy Endo-Operative System (HEOS) with its 13Fr channel and cold forceps successfully removed RAPRs in 12 minutes.
- Complete removal was achieved in a single procedure without complications, and serum β-hCG normalized within a week.
Implications:
- HEOS provides a safe, simple, and effective method for RAPRs removal.
- The system's cold forceps avoid endometrial thermal or electrical injury, crucial for fertility preservation.
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