A review of 80 endometrial resections for menorrhagia.

Abstract

OBJECTIVE:

To assess the efficacy of endometrial resection in treating menorrhagia.

DESIGN:

A clinical audit of 80 consecutive patients.

SETTING:

The department of gynaecology, Ealing Hospital, London.

SUBJECTS:

Eighty women referred by their general practitioner with the primary complaint of menorrhagia.

INTERVENTIONS:

Endometrial resection by hysteroscopic electro-diathermy.

MAIN OUTCOME MEASURES:

Subjective assessment of the change in menstrual blood loss by the 75 patients, who were followed up for at least one year.

RESULTS:

Of 75 women assessed after 1 year 45 (60%) had a successful outcome and nine (12%) had 'some improvement'. There were 21 failures; 14 reported 'no improvement' initially and seven were late failures after a good result at 6 months. Fifteen underwent a second procedure with 83% success at 6 months. Complications included uterine perforation in three women, excessive glycine absorption in two, and two women had problems with haemorrhage. Four women came to hysterectomy.

CONCLUSIONS:

Endometrial resection is an effective treatment for menorrhagia. Improvements in operative technique and equipment gave better results and fewer complications in the second half of the series.

• Authors: R J Pyper, A D Haeri
• Journal: British journal of obstetrics and gynaecology (Br J Obstet Gynaecol) Vol. 98 Issue 10 Pg. 1049-54 (Oct 1991) ISSN: 0306-5456 [Print] England
• PMID: 1822105 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Electrocoagulation
• Endometrium (surgery)
• Female
• Humans
• Medical Audit
• Menorrhagia (surgery)
• Middle Aged
• Postoperative Period
• Reoperation
• Treatment Outcome