Transcervical endometrial resection: long-term results of 390 procedures

Acta Obstetricia Et Gynecologica Scandinavica
Ingeborg Bøe EngelsenKnut Hordnes

Abstract

Hysteroscopic transcervical resection of the endometrium and submucous fibroids has been performed to treat excessive uterine bleeding as an alternative to hysterectomy. The present study aims to evaluate the treatment effect of this procedure at our department. Retrospective record review and a questionnaire 4-10 years after surgery. Patients' characteristics, symptoms, medical treatment prior to surgery, uterine size, weight of resectate, blood loss, glycine loss, operative time, complications, procedures per surgeon, indications, frequency and time to hysterectomy, dysmenorrhea related to prior tubal ligation, the presence of adenomyosis related to later hysterectomy, and patient satisfaction. In the period 1992-1998, 386 patients had 390 procedures performed by six different surgeons. 49.5% of patients had fibroids and 46.9% had a prior tubal sterilization. During operations, 6% had a hemoglobin loss of more than 2.5 g/dl, and 2.1% had a glycine loss of more than 1.51. Uterine perforations were encountered in 31 cases (8%), of which only 2 led to a laparotomy. During the time of follow-up of 4-10 years, 16.6% of patients had a hysterectomy, usually because of pain or bleeding, and 50% of these were done within 2 years after...Continue Reading

Citations

Jun 13, 2008·Archives of Gynecology and Obstetrics·Päivi H RovioPentti K Heinonen
Aug 1, 2006·Photomedicine and Laser Surgery
Apr 1, 2014·Journal of Minimally Invasive Gynecology·Christian ChristoffersenSøren Stampe Sørensen
Nov 28, 2008·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Rajesh VarmaJanesh K Gupta
Sep 9, 2008·Journal of Minimally Invasive Gynecology·Bent Brandt HansenSøren Stampe Sørensen
Aug 11, 2018·The Journal of Obstetrics and Gynaecology Research·Risa NarumiHiroyuki Fujiwara

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