Design: Surgical videos were included from two cases. Retrospective chart review was performed of a prospectively maintained database. Descriptive data were extracted and reported.

Setting: Advocate Lutheran General Hospital

Patients or Participants: Patients included in our database were presenting with early pregnancy loss managed with hysteroscopic resection.

Interventions: Early pregnancy loss was managed with hysteroscopic resection of pregnancy tissue.

Measurements and Main Results: 91.7% of patients had no complications. Complications seen involved fluid overload, infection, and hemorrhage. No patients required blood transfusion. Genetic results were obtained in almost 90% of patients, and were abnormal in 51.5% of patients. Post-operative saline ultrasound was performed at three months and revealed normal results in 84.9% of patients.

Conclusion: Hysteroscopic management of early pregnancy loss is a viable option for treatment of EPL. There are decreased intrauterine adhesions after this type of procedure vs suction D&C, the uterine cavity is able to be evaluated more thoroughly, and there is a higher yield of genetics results. Our data shows that the procedure has a low percentage of complications and can be completed in the office setting or in the operating room based on gestational age.