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Lee JS, Hong GY, Park BJ, et al. High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta. Obstet Gynecol Sci. 2016;59(5):421-5doi: 10.5468/ogs.2016.59.5.421.
Lee, J. S., Hong, G. Y., Park, B. J., Hwang, H., Kim, R., & Kim, T. E. (2016). High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta. Obstetrics & gynecology science, 59(5), 421-5. https://doi.org/10.5468/ogs.2016.59.5.421
Lee, Jae-Seong, et al. "High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta." Obstetrics & gynecology science vol. 59,5 (2016): 421-5. doi: https://doi.org/10.5468/ogs.2016.59.5.421
Lee JS, Hong GY, Park BJ, Hwang H, Kim R, Kim TE. High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta. Obstet Gynecol Sci. 2016 Sep;59(5):421-5. doi: 10.5468/ogs.2016.59.5.421. Epub 2016 Sep 13. PMID: 27668209; PMCID: PMC5028653.
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Obstet Gynecol Sci. 2016 Sep;59(5):421-5. doi: 10.5468/ogs.2016.59.5.421. Epub 2016 Sep 13.

High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta.

Obstetrics & gynecology science

Jae-Seong Lee, Gi-Youn Hong, Byung-Joon Park, Hyejin Hwang, Rayon Kim, Tae-Eung Kim

Affiliations

  1. Aegis Woman Medical Clinic, Seoul, Korea.
  2. Green Cross Medical Clinic, Incheon, Korea.
  3. Department of Obstetrics and Gynecology, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea.

PMID: 27668209 PMCID: PMC5028653 DOI: 10.5468/ogs.2016.59.5.421

Abstract

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.

Keywords: High-intensity focused ultrasound ablation; Hysteroscopic resection; Retained placenta accrete

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

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