Endometrial resection and late reoperation in the treatment of menorrhagia

Aage J. Steffensen, A J Steffensen, Michael Schuster, Mikael Schuster, M Schuster
The Journal of the American Association of Gynecologic Laparoscopists · 1997 · vol. 4(3) , pp. 325–329 · doi:10.1016/s1074-3804(05)80223-3 · PMID:9154781 · W1964780831
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This study investigated the efficacy of endometrial resection in treating menorrhagia and analyzed the factors contributing to late reoperation.

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Abstract

STUDY OBJECTIVE: To evaluate the effectiveness of transcervical resection of the endometrium and indications for late reoperation. DESIGN: Retrospective study. SETTING: Central hospital in northern Norway. PATIENTS: Two hundred fifty women (age 30-59 yrs) with dysfunctional bleeding. INTERVENTIONS: Hysteroscopic transcervical resection of the endometrium. MEASUREMENTS AND MAIN RESULTS: Success as measured by patient satisfaction at 3-month follow-up was 97% and at 4 to 48 months was 91.6%. Mean observation time was 24 months. Twenty-one women required further surgery. Repeat resection was performed in eight women (3.2%), of whom 95% were satisfied. Thirteen women (5.2%) had a hysterectomy. Late reoperation was performed in 7 patients (2.8%) due to recurrent unacceptable vaginal bleeding and in 14 (5.6%) due to late onset of pain. CONCLUSION: After endometrial resection, a definite subgroup (8.4%) of women developed late onset of pain or bleeding requiring reoperation.

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MeSH descriptors

Endometrium Menorrhagia Adult Electrocoagulation Endometrium Female Follow-Up Studies Humans Leuprolide Leuprolide Menorrhagia Middle Aged Patient Satisfaction Preoperative Care Reoperation Retrospective Studies Time Factors Treatment Outcome

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