Removal of retained products of conception showing marked vascularity without uterine artery embolization: Two case reports
| Autor: | Yoshiya Suzuki, Akiko Omoto, Hirokazu Usui, Jun Okayama, Makio Shozu, Asuka Sato |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Laminaria biology business.industry medicine.medical_treatment Cervical dilation Uterus Obstetrics and Gynecology biology.organism_classification Surgery 03 medical and health sciences Laminaria Tents 0302 clinical medicine Vascularity medicine.anatomical_structure Uterine artery embolization Products of conception 030220 oncology & carcinogenesis Medicine Fertility preservation medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 44:1482-1486 |
| ISSN: | 1341-8076 |
| DOI: | 10.1111/jog.13678 |
| Popis: | Retained products of conception with marked vascularity can cause massive postabortal or post-partum bleeding. Uterine artery embolization is effective for uterus preservation but does not assure fertility preservation. Thus, the optimal treatment for retained products of conception with marked vascularity is uncertain. Here, we report two cases of retained products of conception with marked vascularity: one early abortion and one hydatidiform mole, which were successfully resolved by dilation and removal of the retained products, without uterine artery embolization. We pretreated the cervical dilation using two or more laminaria tents and named this technique the 'maximum laminaria procedure'. We observed that the vascularity disappeared just after the laminaria tents were removed, and subsequently, we could remove the retained products with minimal bleeding, without uterine artery embolization. This protocol might become a standard treatment for retained products of conception with marked vascularity. |
| Databáze: | OpenAIRE |
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