Removal of Retained Adherent Placental Remnants Using Hysteroscopy Endo-Operative System (HEOS)

Two cases of larger cornual residual villi, treated by the hysteroscopic cold knife

The present report describes two cases of larger cornual residual villi after dilatation and curettage because of missed abortion, treated by the hysteroscopic cold knife. One case is 39 years old and the other is 30 years old, both cases were treated with dilatation and curettage because of missed abortion, surprisingly, one of the patients suffered two curettage surgeries. After the curettage, with irregular vaginal bleeding more than 3 months, pelvic ultrasonography revealed an enlarged uterine cavity with a lager cornual residual villi was suspected. We treated them with Hysteroscopy Endo-Operative System, the operation was successful without any complications. The blood β-HCG drops rapidly to normal after surgery. We performed office hysteroscopy for them 1 month after the operation, and the corners of uterine were normal. The hysteroscopic cold knife may represent a valid tool for the treatment of large cornual residual villi.

The Investigation and Management of Adenomyosis in Women Who Wish to Improve or Preserve Fertility

The management of adenomyosis remains a great challenge to practicing gynaecologists. Until recently, hysterectomy has been the only definitive treatment in women who have completed child bearing. A number of nonsurgical and minimally invasive, fertility-sparing surgical treatment options have recently been developed. This review focuses on three aspects of management, namely, (1) newly introduced nonsurgical treatments; (2) management strategies of reproductive failures associated with adenomyosis; and (3) surgical approaches to the management of cystic adenomyoma.