Hysteroscopic resection of abnormally invasive placenta residuals.

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.