Embrioscopy in missed abortion
DOI:
https://doi.org/10.18597/rcog.493Keywords:
embrioscopy, missed abortion, embryo, foetus, karyotype, chromosomal abnormality, chorionic villusAbstract
Objective: showing the early experience and the findings in six patients suffering missed miscarriage having different weeks of gestation, who received transcervical embrioscopy before obstetric curettage whilst receiving the same anesthesia.
Institution: Medifértil, Bogotá, Colombia.
Type of Study: descriptive series of cases.
Materials and methods: kariotyping and trans-cervical embrioscopy was carried out on each of the six patients having a previous diagnosis of missed miscarriage, confirmed by transvaginal ultrasonography during the first three months.
Results: transcervical embrioscopy was successfully done on all the patients; four of them (66%) exhibited phenotype abnormalities, every case displayed a normal kariotype (analysis of 30 methaphases). One of the cases expressed a trisomy 21 and the other corresponded to hydropic degeneration related to partial mole.
Conclusion: We suggest applying transcervical embrioscopy before obstetric curettage in patients diagnosed as having early and recurrent loss as a complementary tool for identifying genetic abnormalities. It is also a procedure having low morbidity and uses the same hysteroscopy infrastructure.
Author Biographies
Jesús Alberto Ruíz-Ruíz
Eugenia Corredor-Sánchez
Carlos Julio García-Perlaza
José Ignacio Madero-Cervera
Claudia Rocío López
María Fernanda León
Magally Escobar
References
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