Document Detail


Pregnancy outcome of uterine arterial embolization followed by selective hysteroscopic removal of a placental polyp.
MedLine Citation:
PMID:  17230284     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the pregnancy outcome of uterine arterial embolization followed by selective hysteroscopic removal of a placental polyp. METHODS: Thirteen patients of placental polyp with abundant blood flow, which was diagnosed by ultrasound with color Doppler imaging, were studied. They underwent uterine arterial embolization followed by selective hysteroscopic removal of the polyp. Uterine arterial embolization was carried out using an absorbable gelatin sponge. Selective removal via hysteroscopy was performed on the following day, using the cutting loop with or without electrical stimulation. The polyp was gradually resected to the level of the surrounding endometrium. RESULTS: Complete removal of the placental polyp was achieved in all patients. The presence of placental polyp was confirmed by pathologic examination. The operative time ranged from 20 to 53 min. In all cases, no complications were noted and the bleeding was minimal during and immediately after the procedure. Postoperative ultrasound demonstrated a uterine cavity free of residual mass in each case. The seven patients with complete gestation gave birth to health babies. No recurrence of placental polyp was observed. CONCLUSIONS: Selective removal directed via hysteroscopy after reduction of blood supply by uterine arterial embolization provides a safe and effective method to minimize bleeding, and can preserve future fertility and successful uneventful pregnancies in the treatment of placental polyp with abundant blood flow.
Authors:
Kyousuke Takeuchi; Makoto Sugimoto; Keisuke Kitao; Shigeki Yoshida; Takeshi Maruo
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  86     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2007  
Date Detail:
Created Date:  2007-01-18     Completed Date:  2007-02-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  22-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine, Kobe, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Embolization, Therapeutic / methods*
Female
Gestational Age
Humans
Hysteroscopy / methods*
Placenta Diseases / therapy*
Polyps / therapy*
Postpartum Hemorrhage / prevention & control
Pregnancy
Pregnancy Complications, Neoplastic / therapy*
Pregnancy Outcome

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