Management of retained products of conception in our hospital

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  • HATTORI Mizuki
    Department of Obstetrics and Gynecology, Japan Community Healthcare Organizatios (JCHO) Osaka Hospital
  • OHYAGI Chifumi
    Department of Obstetrics and Gynecology, Japan Community Healthcare Organizatios (JCHO) Osaka Hospital
  • KANEMITSU Mai
    Department of Obstetrics and Gynecology, Japan Community Healthcare Organizatios (JCHO) Osaka Hospital
  • TABUSHI Mari
    Department of Obstetrics and Gynecology, Japan Community Healthcare Organizatios (JCHO) Osaka Hospital
  • UMEZAWA Naho
    Department of Obstetrics and Gynecology, Japan Community Healthcare Organizatios (JCHO) Osaka Hospital
  • NAKAO Etsuko
    Department of Obstetrics and Gynecology, Japan Community Healthcare Organizatios (JCHO) Osaka Hospital
  • KIYOHARA Yumiko
    Department of Obstetrics and Gynecology, Japan Community Healthcare Organizatios (JCHO) Osaka Hospital
  • TSUTSUI Tateki
    Department of Obstetrics and Gynecology, Japan Community Healthcare Organizatios (JCHO) Osaka Hospital

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Other Title
  • 当院におけるretained products of conception（RPOC）に対する治療法の検討
  • トウ イン ニ オケル retained products of conception (RPOC)ニ タイスル チリョウホウ ノ ケントウ

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<p>This study aimed to compare the management of retained products of conception (RPOC) between patients followed up under observation and those treated with aggressive treatments-suction curettage, transcervical resection (TCR), uterine artery embolization (UAE), and total hysterectomy.We retrospectively reviewed 23 medical records of RPOC patients in our hospital between 2014 and 2019. Results : Expectant management was chosen for 11 of 14 RPOC patients whose pregnancies ended by 22 gestational weeks. In five patients, RPOC disappeared spontaneously (median : 78 days). Only one patient had massive bleeding during the observation period and was treated with total hysterectomy. In other cases, only TCR or TCR after UAE were performed. Most patients who delivered during the third trimester could be followed up under observation for spontaneous disappearance of RPOC (median : 141 days). RPOC may suddenly trigger massive uterine bleeding. Thus, we evaluated the risk of individual patients and the need for UAE to reduce blood flow to the uterus. Low-risk patients could be followed up under observation for spontaneous disappearance of RPOC. [Adv Obstet Gynecol, 73(3) : 169-176, 2021 (R3.8)]</p>

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