[Role of endo-uterine resection using hysteroscopy in the treatment of sub-mucous hemorrhagic fibroma in the peri-menopausal period].

Abstract

OBJECTIVES:

To study retrospectively the long-term outcome after hysteroscopic treatment for intra-uterine fibromas.

METHODS:

From October 1987 to January 1993, endo-uterine glycocol resection was performed in 196 patients with intra-uterine fibromas. The operation had to be repeated in 39 patients due to incomplete resection or recurrent symptomatology. Patients presented with menometrorrhage.

RESULTS:

Intra-operative complications were rare, mainly uterine perforations (7 cases) or metabolic syndromes due to reabsorption of glycine (5 cases). Mean follow-up was 2.5 years. In all 196 women consulted for bleeding, good results were achieved in 81.1%.

CONCLUSION:

Endo-uterine resection is a sure, effective and long-lasting treatment for intra-uterine fibromas.

• Authors: B Blanc, L Cravello, C D'Ercole, V Roger, G Porcu
• Journal: Bulletin de l'Academie nationale de medecine (Bull Acad Natl Med) Vol. 181 Issue 4 Pg. 651-9; discussion 659-60 (Apr 1997) ISSN: 0001-4079 [Print] Netherlands
• Vernacular Title: Place de la résection endo-utérine par voie hystéroscopique dans le traitement des fibromes sous-muqueux hémorragiques en période péri-ménopausique.
• PMID: 9312345 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Female
• Humans
• Hysteroscopy
• Leiomyoma (complications, surgery)
• Premenopause
• Retrospective Studies
• Uterine Hemorrhage (etiology)