Hysteroscopic Evaluation of Uterine Cavity after Conservative Management of Placenta Accreta

Background: Placenta accrete occurs when there is abnormal attachment of the placenta to uterine wall either partially or totally. accreta had many complications mainly intraoperative and postpartum including injury local organs (e.g. bowel, bladder, ureters) neurovascular structures in retroperitoneum. The aim present study was evaluate cavity after conservative management by using hysteroscope.
 Materials Methods: This prospective carried on 40 pregnant at Tanta University Hospital with age >35 years, detect Presence absence intra changes hysteroscopy, easiness performing diagnostic hysteroscopy Correlation between intrauterine operative data.
 Results: Hysteroscopic examination participants showed that 30.0% incidences Cervical stenosis, 15.0% irregularity, adhesions, 10.0% endometrial fibrosis, 5.0% scar dehiscence Remnant. There a statistically significant positive correlation development cervical stenosis thickness US (correlation coefficient r = 0.323 p value 0.042) .There negative Endometrial fibrosis -0.538 <0.001). Intra adhesions -0.470 0.002). irregularity duration CS -0.320 0.044).
 Conclusion: frequency hysteroscopic findings high, for least several months procedure. most frequently found abnormalities, associated treatment, are Intrauterine adhesions.