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Erpoc Cme
Erpoc Cme
Product of Conception
(ERPOC)
OUTLINE
Small operation done to treat an
incomplete or delayed miscarriage or
termination of pregnancy
INTRODUCTION
Consent
Proposed Procedure • Describe the nature of the procedure
Intended Benefit • Aim of the procedure is to treat
incomplete/ missed miscarriage/ retained
placental tissue
Risks (Serious & • Separate serious from frequently
Frequent) occurring risks.
• Increased risk in certain cases
Additional Procedures • Diagnostic laparoscopy to :
-exclude ectopic
-Uterine perforation (to see the extent of
damage)
• Second ERPOC
Sensitive to disposal of fetal tissue
-If tissue is sent for histology, the reasons should be explained.
POST PROCEDURE….
Anaesthesia General Specific
Headaches / Pain: Uterine perforation:
Dizziness -similar to period pain -puncturing of the
-controlled with uterus
Nausea analgesics -(risk: <5 in 1000)
-laparoscopy will be
Vomiting Bleeding: done to assess the
-normal to expect damage
Hypotension some amount of
bleeding Incomplete
Bradycardia -similar to that of a evacuation
period -might need for a
Post GA atelectasis -rarely needs blood another ERPOC
transfusion
Rash Cervical damage:
Infection: -cervix is stretched
Anaphylaxis -endometritis open
*Excessive curettage -
Asherman's syndrome
Coagulopathy
Patient refusal
CONTRAINDICATIONS
Surgical management of miscarriage or partially retained
placenta after delivery
REFERENCES
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