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KMID : 0358420160590050421
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Korean Journal of Obstetrics and Gynecology
2016 Volume.59 No. 5 p.421 ~ p.425
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High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta
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Lee Jae-Seong
Hong Gi-Youn
Park Byung-Joon
Hwang Hye-Jin
Kim Ra-Yon
Kim Tae-Eung
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Abstract
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We present a case of retained placenta accreta treated by high-intensity focused ultrasound (HIFU) ablation followed by hysteroscopic resection. The patient was diagnosed as submucosal myoma based on ultrasonography in local clinic. Pathologic examination of several pieces of tumor mass from the hysteroscopic procedure revealed necrotic chorionic villi with calcification. HIFU was performed using an ultrasound-guided HIFU tumor therapeutic system. The ultrasound machine had been used for real-time monitoring of the HIFU procedure. After HIFU treatment, no additional vaginal bleeding or complications were observed. A hysteroscopic resection was performed to remove ablated placental tissue 7 days later. No abnormal vaginal bleeding or discharge was seen after the procedure. The patient was stable postoperatively. We proposed HIFU and applied additional hysteroscopic resection for a safe and effective method for treating retained placenta accreta to prevent complications from the remaining placental tissue and to improve fertility options.
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KEYWORD
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High-intensity focused ultrasound ablation, Hysteroscopic resection, Retained placenta accrete
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