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Emergency endometrial resection in women with acute, severe uterine bleeding.

AbstractSTUDY OBJECTIVE:
To evaluate the efficacy and safety of endometrial hysteroscopic resection in the treatment of severe uterine bleeding.
DESIGN:
Pilot feasibility study (Canadian Task Force classification II-2).
SETTING:
Department of gynecology at a general hospital.
PATIENTS:
Twenty-six women with severe uterine bleeding.
INTERVENTION:
Hysteroscopic transcervical endometrial resection under general anesthesia.
MEASUREMENTS AND MAIN RESULTS:
Bleeding had a benign organic cause in 25 women. One endometrial carcinoma was detected in endometrial chips in a postmenopausal woman and was managed with hysterectomy. Fifteen cycling women experienced complete remission of uterine bleeding; one underwent hysterectomy during follow-up. Atrophic endometrium was present in nine menopausal women during follow up.
CONCLUSION:
Endometrial transcervical resection was effective in controlling heavy bleeding, preventing future episodes of severe bleeding, and avoiding further medical or surgical treatment during 19 months of follow-up.
AuthorsM Franchini, L Cianferoni
JournalThe Journal of the American Association of Gynecologic Laparoscopists (J Am Assoc Gynecol Laparosc) Vol. 7 Issue 3 Pg. 347-50 (Aug 2000) ISSN: 1074-3804 [Print] United States
PMID10924628 (Publication Type: Journal Article)
Topics
  • Electrocoagulation (methods)
  • Emergency Medical Services
  • Endometrium (surgery)
  • Feasibility Studies
  • Female
  • Humans
  • Hysteroscopy
  • Male
  • Menorrhagia (surgery)
  • Pilot Projects
  • Uterine Hemorrhage (surgery)

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