مسار بولونيا

نوال مصطفى عبدالله الشنان

السنة عنوان البحث نشر البحث
2025 The Role of Intrauterine Bigatti Shaver in Removal of Retained Products of Conception in Sample of Iraqi Women Journal of Obstetrics, Gynecology and Cancer Research
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 18-44 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 50 women (100%). The size of placental remnants varied between 15-33 mm. The resection time has a range of 22-110 seconds. Results showed a positive correlation between age and size (r=0.552), age and resection time (r=0.331) .additionally size and resection time (r=0.559), size and infection (r=0.415) and time and infection (r=0.470). Follow up of postoperative patients revealed mild infection in two and mild vaginal bleeding in 4 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. Keywords: Retained products of conception, Intrauterine Bigatti Shaver