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. 2022 Jun;14(2):193-197.
doi: 10.52054/FVVO.14.2.020.

Hysteroembryoscopy and hysteroscopic uterine evacuation of early pregnancy loss: A feasible procedure in selected cases

U Catena, S D'Ippolito, F Campolo, G Dinoi, A Lanzone, G Scambia

Hysteroembryoscopy and hysteroscopic uterine evacuation of early pregnancy loss: A feasible procedure in selected cases

U Catena et al. Facts Views Vis Obgyn. 2022 Jun.

Abstract

Hysteroscopic uterine evacuation of early pregnancy loss using tissue removal devices seems to be a safe and feasible procedure in selected cases. The hysteroscopic approach allows the precise localisation of the gestational sac inside the uterine cavity. The endoscopic approach allows one to perform hysteroembryoscopy before uterine evacuation and this technique appears to be more accurate than dilatation & curettage for fetal chromosome karyotyping, with lower maternal cell contamination. This "under vision" procedure may reduce retained products of conception rates and risk of intrauterine adhesions formation.

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Figures

Figure 1
Figure 1
Preoperative images of the missed miscarriage: A) Preoperative ultrasound image; B) Hysteroscopic vision of the GS.
Figure 2
Figure 2
Hysteroembryoscopy: A) Embryo visualisation; B) Introduction of the 5Fr grasping forceps in the operative channel of the hysteroscope; C) Hysteroembryoscopic biopsy with grasping forceps.
Figure 3
Figure 3
Hysteroscopic Uterine Evacuation with TRD: A) Endouterine Morcellation with Dense Tissue Blade; B) Transabdominal Ultrasound Guidance during the procedure; C) Hysteroscopic view at the end of the procedure.
See this image and copyright information in PMC

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