Remove placental polyp - Causes, symptoms and treatment. MF.

Hysteroscopic picture of placental polyp:

Placental polyp is a part of placental tissue that has remained in the uterine cavity after childbirth or abortion, retaining food and fibrosing. The placental polyp with hysteroscopy looks like a bluish-purple or dark-burgundy formation of an irregular shape that bleeds easily when touched. The placental polyp differs in color from the surrounding mucosa and can easily be diagnosed even at small sizes.

Technique for the removal of the placental polyp:

After the diagnostic stage of hysteroscopy and detection of the endometrial polyps, small polyps of the endometrium are removed, producing an acute curettage scraping. The curette is held freely when scraping, grabbing it with fingers, like a writing pen or a bow. Entering the curette to the bottom of the uterus leads it back to the inner throat, pressing on the wall of the uterus and scraping the endometrium. Repeated movements remove the mucosa from the bottom, from the anterior, posterior and lateral walls of the uterine cavity. Scraping from the uterus is removed by the curette, removing it from time to time from the uterus, but not with every movement towards the uterine throat. When the polyps of the mucous body and cervix are found, separate scraping is performed. In the beginning, at the same time, the scraping of the mucous cervical canal is performed, without entering the internal pharynx, then the mucosa is scraped away from the walls of the uterine cavity.

After end of scraping and removal of scrapings from the uterine cavity, a control hysteroscopy is performed.

Introducing a hysteroscope into the uterine cavity, perform a sequential examination of the walls of the uterine cavity, especially careful in the detection of polyps. After making sure that the polyps are removed, the procedure is stopped.

If any remaining polyps or parts of them are found in the uterus cavity, scraping is performed again, followed by a control hysteroscopy.

If a large polyp of the endometrium is found, if necessary, an additional cervical canal extension to No. 13-15 of the Gegar dilator is made. After additional expansion of the cervical canal into the uterine cavity, forceps are inserted to remove the polyp, they grip the polyp by turning the forceps around their axis in one direction, unscrewing the polyp and removing it from the uterine cavity. When the control hysteroscopy is carefully examined the place of attachment of the polyp, if a remnant of the polyp base is found, they are removed by the curette. You can also remove a large polyps of the endometrium with a flexible scissors hysteroscope. A hysteroscope for this is fed to the base of the polyp, with scissors inserted into the operating channel of the hysteroscope, the polyp stalk is cut off under visual control. Then insert the forceps into the operating channel of the hysteroscope, fix the polyp under visual control and remove it from the uterine cavity.