Hysteroscopic resection of abnormally invasive placenta residuals

Abstract

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. © 2013 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.