{"paper_id":"db8a9d9b-3432-42bd-9bbe-1a4b5b767629","body_text":"Abstract\nThis preliminary study involves 45 patients, referred to us for hysterectomy, who complained of uterine bleeding that was resistant to conventional treatment. Prior to surgery, these patients had a diagnostic hysteroscopy which showed that the bleeding was due to submucosal fibroids, to intrauterine or cervical polyps, either alone or in association with adenomyosis, or to adenomyosis alone. These patients were treated as outpatients with the Nd-YAG laser, by using paracervical anaesthesia. In 80%, the menstrual cycle has returned to normal after a short follow-up (four cycles). Three patients required hysterectomy because hysteroscopy was impossible owing to multiple fibroids. Two patients have been lost to follow-up observations. In addition, there was a beneficial result on secondary dysmenorrhoea. Wherever necessary, uterine septa and synechiae were divided. Between six and 10 weeks after treatment, a follow-up hysteroscopy was performed. This confirmed that there was no recurrence of the underlying lesion, that the treated areas were scarred and that the endometrium in these areas was functional. Longer follow-up is necessary to assess the precise proportion of hysterectomies that can be avoided by using this technique.\nSimilar content being viewed by others\nReferences\nDecherney P, Polan ML. Hysteroscopic management of intrauterine lesions and intractable uterine bleeding.Obstet Gynecol 1983,61:392\nGoldrath MH, Fuller TA, Segal S. Laser photovaporization of endometrium for the treatment of menorrhagia.Am J Obstet Gynecol 1981,104:14\nGribomont. Complications anesthésiologiques de la chirurgie endoscopic et hystéroscopique au laser. 1st Laser Symposium, 29 November, U.C.L., Leuven, Belgium\nAsherman JG. Amenorrhea traumatica (atretica).J Obstet Gynaecol. Br Emp 1948,55:23–30\nRongy AJ. Radium therapy in benign uterine bleeding.J Mt Sinai Hosp 1947,14:569–75\nDroegemueller W, Greer B, Makowski E. Cryosurgery in patients with dysfunctional uterine bleeding.Obstet Gynecol 1971,38:256–8\nDroegemueller W, Makowski E, Macsalka R. Destruction of the endometrium by cryosurgery.Am J Obstet Gynecol 1971,110:467–9\nShenker JG, Polishuk WZ. Regeneration of rabbit endometrium following intrauterine instillation of chemical agents.Gynecol Invest 1973,4:1–13\nSchellhas H, Helmut FMD, Burkhard W, Weppelmann, MD. The neodymium: YAG laser in the treatment of gynecologic malignancies.Lasers Surg Med 1983,3:225–9\nAuthor information\nAuthors and Affiliations\nRights and permissions\nAbout this article\nCite this article\nDequesne, J. Hysteroscopic treatment of uterine bleeding with the Nd-YAG laser. Laser Med Sci 2, 73–76 (1987). https://doi.org/10.1007/BF02594138\nReceived:\nIssue date:\nDOI: https://doi.org/10.1007/BF02594138","source_license":"CC0","license_restricted":false}