Abstract
Objectives: To evaluate risk factors for retained products of conception (RPOC) after surgical evacuation (SE) using transvaginal sonography (TVS) and success of medical and surgical management. Study Design: Retrospective open-label study included 270 women after SE done for abortion; 204 were completely evacuated and 66 had RPOC randomly equally subjected to medical or surgical treatment. Results: There was a significant difference between the two study groups regarding GA at SE (lower in the complete evacuation group) 7.32 ± 1.352 vs. 10.23 ± 1.572, experience of the obstetrician (higher in complete evacuation group) and adverse effects as vaginal bleeding, abdominal pain, and fever (lower in the complete evacuation group). Success of both medical and surgical treatment of retained products showed a statistically nonsignificant difference. Nausea and headache showed nonsignificant difference between the two groups while most side effects reported were more in the medical group as diarrhea (12 vs. 1), fever (9 vs. 0), hot flushes (10 vs. 0), abdominal pain (9 vs. 2), and vaginal bleeding (9 vs. 2). Few side effects were reported more in the surgical group such as vomiting (13 vs. 2) and tiredness (12 vs. 2). Conclusion: TVS is recommended following D and E in patients at high risk for RPOC for whom medical and surgical treatment are effective.
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