The Role of Intrauterine Bigatti Shaver in Removal of Retained Products of Conception in Sample of Iraqi Women

Background & Objective: Intrauterine Bigatti shaver has several benefits over classical methods like dilation and curettage. It offers a more precise tissue removal, facilitating improved visualization to the uterine lining .This procedure is deemed safer, and consumes less time and effort. To highlight the effectiveness of the Bigatti Shaver as a valuable treatment option particularly in patients with miscarriages or complicated dilatation and curettage.Materials & Methods: Fifty women aged between ۱۸-۴۴ years underwent placental remnant removal using Bigatti Shaver. The primary outcomes include complete removal of retained products of conception (RPOC), procedure time and possible complications while secondary outcomes focused on patient satisfaction and necessity for further intervention.Results: The Bigatti Shaver demonstrates remarkable success in completely removing RPOC in all ۵۰ women (۱۰۰%). The size of placental remnants varied between ۱۵-۳۳ mm. The resection time has a range of ۲۲-۱۱۰ seconds. Results showed a positive correlation between age and size (r=۰.۵۵۲), age and resection time (r=۰.۳۳۱) .additionally size and resection time (r=۰.۵۵۹), size and infection (r=۰.۴۱۵) and time and infection (r=۰.۴۷۰). Follow up of postoperative patients revealed mild infection in two and mild vaginal bleeding in ۴ patients.Conclusion: The Bigatti Shaver (IBS) is confirmed to be a safe and effective procedure for the removal of RPOC. Overall, patient satisfaction was highly encouraging

کلیدواژه ها:

Retained Products of Conception ، Intrauterine Bigatti Shaver