Hysteroscopic Evaluation of Uterine Cavity after Uterine Conservation for Morbidly Adherent Placenta; Controlled Clinical Trial

Abstract

orbidly adherent placenta has become one of the most challenging obstetric surgeries which associated with major maternal morbidity and mortality (Lockhart et al., 2010). Postoperative complications reported with a conservative approach include severe postpartum hemorrhage, postoperative disseminated intravascular coagulopathy, uterine niche, intrauterine adhesion, and infection resistant to antimicrobial therapy (Perez-Delboy and Wright, 2014). Hysteroscopy is considered the gold standard for diagnosis of IUA. Hysteroscopy allows direct visualization of the endometrial cavity, Hysteroscopy can be performed in the office and offers the advantage of concurrent treatment (Amin, 2015). The aim of this work was to evaluate uterine cavity by using hysteroscope after uterine conservation as a conservative procedures for MAP. And our Research Question was: In women complaining of morbidly adherent placenta which had conservative surgery does that procedure affect the uterine cavity and enodmetrium.