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.