{"id":411,"date":"2023-09-21T15:07:48","date_gmt":"2023-09-21T13:07:48","guid":{"rendered":"https:\/\/www.isteroscopia.it\/?page_id=411"},"modified":"2023-11-03T14:43:58","modified_gmt":"2023-11-03T13:43:58","slug":"residui-abortivi-e-placentari","status":"publish","type":"page","link":"https:\/\/www.isteroscopia.it\/en\/isteroscopia-operativa\/residui-abortivi-e-placentari\/","title":{"rendered":"Abortive and Placental Residues"},"content":{"rendered":"
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Operative hysteroscopy<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Abortive and Placental Residues<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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This pathology consists of the presence of abortive material or placenta fragments inside the uterus after an abortion curettage or post-partum haemorrhage, after delivery without apparent complications, after a termination of pregnancy.<\/p>

It is very important to diagnose it in time with an ultrasound and especially with a diagnostic hysteroscopy because, if neglected, it can lead to infection, the formation of adhesions in the uterus with loss of menstruation and fertility.\u00a0<\/p>

Symptoms:<\/strong><\/h4>
  1. Persistence of abnormal uterine bleeding after an abortion or a spontaneous or caesarean section delivery<\/li>
  2. Presence of abdominal pain and fever\u00a0<\/li>
  3. Amenorrhoea or hypomenorrhoea (absent or scanty menses) after curettage\u00a0<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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    Diagnosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    • Transvaginal control ultrasound<\/strong><\/li>
    • Diagnostic hysteroscopy<\/strong><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      The ultrasound scan should be done as soon as the above symptoms appear but the diagnosis of certainty is made with a diagnostic hysteroscopy. hysteroscopy is more delicate in cases like these because the recently pregnant uterus is more delicate. the walls are softer and the risk of perforation is greater.<\/p>

      Surgical technique (operative hysteroscopy)<\/strong><\/p>

      1. Careful attention must be paid to the location and extent of the residue<\/li>
      2. Remove the soft, exuberant part of the residue when cold if possible<\/li>
      3. Use equatorial thermal loops that have a lower risk of perforation<\/li>
      4. Using cold loops to enucleate the base of the residue that often infiltrates the uterine wall (chorion or placenta accreta)\u00a0<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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        Cautions and Precautions:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        1. Avoid long waits by waiting for spontaneous expulsion of the residue and having repeated ultrasound scans<\/li>
        2. Perform a post-partum haemorrhage curettage as soon as possible if a placenta fragment is suspected inside the uterus<\/li>
        3. Use caution when introducing the hysteroscope into the uterus<\/li>
        4. Absolutely avoid repeated curettage (each curettage increases the risk of intrauterine adhesions forming)<\/li>
        5. Abolish all cavity examinations<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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          All this in order to avoid severe Asherman's syndrome, with loss of menstruation and fertility.<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

          Isteroscopia Operativa Residui Abortivi e Placentari Questa patologia consiste nella presenza di materiale abortivo o frammenti di placenta all’interno dell’utero dopo un raschiamento per aborto o per una emorragia post-partum, dopo un parto senza apparenti complicazioni, dopo una interruzione di gravidanza. E\u2019 molto importante diagnosticarla in tempo con una ecografia e soprattutto con una isteroscopia […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":370,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-411","page","type-page","status-publish","hentry"],"yoast_head":"\nDr. Pulcinella Ruggero | Residui Abortivi e Placentari<\/title>\n<meta name=\"description\" content=\"Questa patologia consiste nella presenza di materiale abortivo o frammenti di placenta all\u2019interno dell\u2019utero dopo un raschiamento per aborto oppure\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.isteroscopia.it\/en\/isteroscopia-operativa\/residui-abortivi-e-placentari\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" 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