To present our experience in hysteroscopic removal of abnormally invasive placenta (AIP) residuals using bipolar energy.Design
Sixteen patients with AIP residuals after 17 pregnancies.Methods
Cases were identified by ultrasound, treated with hysteroscopic bipolar electrosurgery and oral contraceptives, and followed up by ultrasound or hysteroscopy. Nine subsequent pregnancies were described.Main outcome measures and Results
Complete removal of AIP residuals was achieved by hysteroscopic bipolar electrosurgery in all cases except one. No perioperative complications occurred. AIP residual recurred in one patient after a subsequent pregnancy and was successfully treated using the same procedure.Conclusions
AIP residual is a rare condition. Management by hysteroscopic resection using bipolar energy is safe and feasible.