Uterine curettage may result in formation of intrauterine adhesions, which can predispose to recurrent miscarriage. Herein is presented a video case report of a 24-year-old woman with recurrent miscarriages and recurrent intrauterine adhesions after treatment of non-progressive pregnancies. Targeted intrauterine pregnancy tissue removal using a hysteroscopic morcellator was performed to reduce the risk of adhesion recurrence. Successful removal of products of conception, without subsequent adhesion formation, and an ongoing viable pregnancy followed. Selective targeted removal of products of conception may offer some advantage to women with a predisposition to recurrent Asherman’s syndrome.
Margaret Harpham, BMed, and Jason Abbott, BMed(Hons), MRCOG, FRANZCOG, PhD