Role of Hysteroscopy in Managing Incomplete Abortion at Sangolkar Hospital, Sangli

Advanced Hysteroscopic Solutions for Incomplete Abortion, RPOC & Uterine Vascular Malformations

👨‍⚕️ Surgeon: Dr. Rahul Ramhari Sangolkar – Advanced Gynecologic Laparoscopic & Hysteroscopic Surgeon

🌍 Location: Sangolkar Hospital, Near Maratha Samaj, Ambedkar Road, Sangli – 416416🩺 Qualification: MBBS, DGO, DNB (Mumbai), Diploma in Laparoscopy (Germany)

🤝 Referred by: Dr. Rajendra Shendge (Burli)

Case Overview

A female patient presented with persistent vaginal bleeding (P/V bleeding) after undergoing incomplete abortion managed with D&C.

• Despite one or two previous dilatation and curettage (D&C) procedures, the patient continued to bleed.

• Ultrasound (USG) revealed retained products of conception (RPOC) adhered to the uterine wall.

Diagnosis

• Incomplete abortion with RPOC (Retained Products of Conception)

• Considered differential: Enhanced Myometrial Vascularity (EMV) / Uterine Arteriovenous Malformations (AVM) – sometimes requiring MRI pelvis for confirmation

Procedure: Hysteroscopic Removal of RPOC

⚕️ Therapeutic Steps:

• Hysteroscopic visualization of uterine cavity

• Direct identification of RPOC adherent to uterine wall

• Complete removal using Hysteroscopic instruments

• Bipolar resectoscope ablation option available for AV malformations

  
  

🎥 A short video of the hysteroscopic procedure was documented for academic sharing.

Execution & Surgical Expertise

👨‍⚕️ Performed by: Dr. Rahul Sangolkar

🏥 Approach: Minimally invasive hysteroscopic management – safer than blind D&C

✅ Advantage: Direct visualization reduces risk of incomplete evacuation & uterine injury

Post-Operative Outcome

✔️ Bleeding stopped completely

✔️ Patient recovered without complications

✔️ No repeat procedures required

Why This Case Was Important

• Highlights the limitations of blind D&C in managing incomplete abortion

• Shows the superiority of hysteroscopy in safely removing RPOC

• Demonstrates how uterine vascular anomalies (EMV, AVM) can also be managed hysteroscopically, avoiding major surgeries

Why Choose Sangolkar Hospital, Sangli?

🏥 First choice in Sangli for advanced hysteroscopic & laparoscopic gynecology

🩺 Expertise in fertility-preserving gynecological surgeries

🔬 Equipped with modern hysteroscopic & laparoscopic systems

✅ Safe, precise & patient-centered treatment