Hysteroscopic management of menstrual disorders: a review of 395 patients

In: European Journal of Obstetrics & Gynecology and Reproductive Biology · 1996 · vol. 67(2) , pp. 163–167 · doi:10.1016/0301-2115(96)02451-7 · PMID:8841806 · W2012237455
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This review of 395 patients examined the effectiveness of hysteroscopic management for various menstrual disorders, detailing treatment outcomes and complications.

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Abstract

ObjectiveTo evaluate the long-term effectiveness of transcervical resections in menstrual disorders.DesignRetrospective consecutive patient follow-up.PatientsFrom 1987 to 1993, 395 patients with menstrual disorders (menorrhagia and/or metrorrhagia) were treated with operative hysteroscopy in our department. Resection of endometrial polyps was performed in 65 cases, resection of submucous fibroids in 196, and endometrial ablation in 134. Fourty-one patients had a repeat procedure.ResultsOur mean follow-up period was 2.7 years. Thirteen complications were noted (3%), two of which were serious (one hemoperitoneum after uterine perforation, one severe symptomatic hyponatremia). Twenty-eight patients did not remain in contact after hospitalization (7.1%). Menstrual disorders were controlled in 297 patients (75.2%). Failure was noted in 70 patients (17.7%), including hysterectomy in 50 patients and persistent bleeding in 20.ConclusionHysteroscopic surgery is a satisfying technique for women with abnormal uterine bleeding who want a conservation of the uterus. Better results are noted with resections of polyps and fibroids than with endometrial ablations.

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