Abstract | STUDY 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: INTERVENTION: 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.
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Authors | M Franchini, L Cianferoni |
Journal | The 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 |
PMID | 10924628
(Publication Type: Journal Article)
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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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