Author： Dankert T.
Publisher： Springer Publishing Company
ISSN： 1613-2076
Source： Gynecological Surgery, Vol.5, Iss.2, 2008-05, pp. : 121-124
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Abstract
Retained placental tissue (RPT) is a serious cause of secondary postpartum haemorrhage. Various surgical therapies are available with a variety of complications and disadvantages such as uterine perforation, blood transfusions, persisting RPT, recurrence in subsequent pregnancies or Asherman's syndrome. We describe 10 women who underwent hysteroscopic visualisation and resection of RPT. No complications occurred. RPT was histologically confirmed in 90%. No adhesions during a second-look hysteroscopy were seen. All women regained normal menstrual bleedings. Hysteroscopic selective resection of RPT should be considered in patients with secondary postpartum haemorrhage.
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