Clinical value of transcervical resection under hysteroscope for placental remnants

To study the clinical value of transcervical resection under hysteroscope in treatment of placental remnants. From March 2003 to April 2006, 14 cases of placental remnants were treated with transcervical resection under hysteroscope. They included 3 cases of term birth, and 11 cases of midtrimester...

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Veröffentlicht in:Chung-hua fu chʿan kʿo tsa chih 2007-08, Vol.42 (8), p.523-525
Hauptverfasser: Mu, Yu-lan, Liu, Ming, Li, Qiang, Yang, Zhong-li, Yin, Fu-bo
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container_issue 8
container_start_page 523
container_title Chung-hua fu chʿan kʿo tsa chih
container_volume 42
creator Mu, Yu-lan
Liu, Ming
Li, Qiang
Yang, Zhong-li
Yin, Fu-bo
description To study the clinical value of transcervical resection under hysteroscope in treatment of placental remnants. From March 2003 to April 2006, 14 cases of placental remnants were treated with transcervical resection under hysteroscope. They included 3 cases of term birth, and 11 cases of midtrimester induction of labor. Drug pretreatment was performed for those who had more than 80 U/L of blood beta-human chorionic gonadotropin (beta-hCG) level, including mifepristone (RU486), Chinese herbs and methotrexate (MTX). RU486 was taken orally at 25 mg, three times daily and misoprostol was given 600 microg at one dose on the third day. MTX was given by deep intramuscular injection at 1 mg/m(2) if beta-hCG was higher than 150 U/L. Bipolar evaporation was used in the operation with alternation of resection and forceps holder under ultrasonographic supervision. After operation a circular contraceptive device was placed followed by hormone periodic treatment such as estradiol valerate for 2 - 4 months. Under the monitori
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From March 2003 to April 2006, 14 cases of placental remnants were treated with transcervical resection under hysteroscope. They included 3 cases of term birth, and 11 cases of midtrimester induction of labor. Drug pretreatment was performed for those who had more than 80 U/L of blood beta-human chorionic gonadotropin (beta-hCG) level, including mifepristone (RU486), Chinese herbs and methotrexate (MTX). RU486 was taken orally at 25 mg, three times daily and misoprostol was given 600 microg at one dose on the third day. MTX was given by deep intramuscular injection at 1 mg/m(2) if beta-hCG was higher than 150 U/L. Bipolar evaporation was used in the operation with alternation of resection and forceps holder under ultrasonographic supervision. After operation a circular contraceptive device was placed followed by hormone periodic treatment such as estradiol valerate for 2 - 4 months. 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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Abortifacient Agents, Nonsteroidal - administration & dosage
Abortifacient Agents, Nonsteroidal - therapeutic use
Adult
Chorionic Gonadotropin, beta Subunit, Human - blood
Combined Modality Therapy
Electrosurgery - methods
Female
Humans
Hysteroscopy - methods
Methotrexate - administration & dosage
Methotrexate - therapeutic use
Mifepristone - administration & dosage
Mifepristone - therapeutic use
Misoprostol - administration & dosage
Misoprostol - therapeutic use
Placenta, Retained - diagnostic imaging
Placenta, Retained - drug therapy
Placenta, Retained - surgery
Pregnancy
Retrospective Studies
Treatment Outcome
Ultrasonography - methods
title Clinical value of transcervical resection under hysteroscope for placental remnants
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