OBJECTIVE:To present our experience in hysteroscopic removal of abnormally invasive placenta (AIP) residuals using bipolar energy.
DESIGN:Case series.
SETTING:University hospital.
POPULATION: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.