Hysteroscopic management of residual trophoblastic tissue and reproductive outcome: a pilot study.

We report on the feasibility, efficiency, and reproductive outcomes of hysteroscopic resection of late residual trophoblastic tissue in 50 patients in an observational study over 6 years. Complete evacuation of the uterus was achieved in all patients by hysteroscopy. The median operative time was 21 (15-30) min. Only one surgical complication was registered: a uterine perforation in a patient with previous metroplasty. Hysteroscopic resection of persistent trophoblastic tissue seems to be a safe and efficient procedure that could be proposed as an alternative to conventional non-selective blind curettage. We would also recommend systematic second-look hysteroscopy to asess the exact prevalence of post-procedure intrauterine adhesions.

[Effects of drilling on ovarian volume and follicle count in polycystic ovary syndrome]. / Effet du drilling ovarien dans le syndrome des ovaires polykystiques sur la morphologie ovarienne: volume et nombre de follicules.

AIM: To evaluate the effects of drilling on the reduction of the ovarian volume and on the count of antral follicles in case of resistance to clomifene citrate induction, METHODS: We carried a prospective study over two years (2004-2005) in Antoine Beclère hospital. We compared two groups of patients, the first, including 20 patients with PCOS and undergoing an ovarian drilling, the second group involving 19 patients with PCOS and without any medical help to procreate. RESULTS: From our study, the ovarian drilling seems to reduce the number of antral follicles, as well as the ovarian volume. CONCLUSION: the ovarian drilling, easy and reproducible procedure reduces the number of antral follicles and ovarian volume, leading to normalization of ovarian functioning and thus better results on fertility.