placental remnants retained products of pregnancy residual trophoblastic tissue retained products of conception retained placental tissue hysteroscopy hysteroscopic morcellation vacuum aspiration
Conditions
Interventions
hysteroscopic morcellation
ultrasound guided electric vacuum aspiration
Sponsors
Catharina Hospital Eindhoven
Ghent University Hospital
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: - Age at least 18 years - Ultrasonographic findings: image suggestive for placental remnants ranging from 1 to 4 cm in diameter - Willing to give informed consent
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: - Placental remnants with a maximum diameter smaller than 1 cm or more than 4 cm - Patients presenting with fever - Visual or pathological (e.g. on biopsy) evidence of malignancy preoperatively or at the time of operation - Untreated cervical stenosis making safe uterine access impossible as diagnosed preoperatively by ambulant hysteroscopy - A contra-indication for surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intrauterine adhesions diagnosed by second look hysteroscopy after at least 1 menstruation or a period of minimum 8 weeks after the operation. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Installation and operating time - Conversion rates - Peri- and postoperative complications (e.g. excessive fluid deficit in case of hysteroscopy, perforation, hemorrhage, postoperative infection) - Availability of tissue for pathology analysis and pathology results - Completeness of removal at second look hysteroscopy - Persistence of symptoms - Necessity for additional treatment - Subsequent reproductive and pregnancy outcome | — |
Contacts
Public ContactT. Hamerlynck
Women’s Clinic Ghent University Hospital De Pintelaan 185, 9000 Gent, Belgium
Outcome results
None listed