Hysteroscopic Endometrial Resection

Bratschi HU, H U Bratschi
Contributions to gynecology and obstetrics · 2000 · vol. 20 , pp. 121–136 · doi:10.1159/000060291 · PMID:11791274 · W1502692832
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⚙ AI-generated summary by claude@2026-07, 2026-07-18 ⓘ

This paper describes hysteroscopic endometrial resection as a menorrhagia treatment preserving the uterus in most patients, detailing technique, safety, outcomes, and enhanced success with LNG-IUD, especially in adenomyosis.

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Abstract

Endometrial resection (TRCE) is a well-examined alternative therapy to hysterectomy in the treatment of menorrhagia that preserves the uterus at long term in at least 70% of patients. The technique and safety considerations are described and an overview of the existing evidence is given. Complication rates (2.5%) and performance of the personal series of 465 operative hysteroscopies including 244 endometrial resections with a follow-up of at least 18 months are shown. 3.3% of patients with endometrial resection needed a hysterectomy up to now (follow-up 18-90 months). The combination of endometrial resection and the insertion of the levonorgestrel hormone-releasing intrauterine device (LNG-IUD) is described. Especially in patients with adenomyosis, the combination of LNG-IUD with endometrial resection augments the success rate. 96 of 99 patients with the combined therapy (TRCE and LNG-IUD) and a follow-up of 18-48 months still have their uterus.

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Condition tags

adenomyosis

MeSH descriptors

Endometrium Hysteroscopy Menorrhagia Endometrium Female Humans Hysteroscopy Hysteroscopy Hysteroscopy Intrauterine Devices Levonorgestrel Levonorgestrel Menorrhagia Middle Aged

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (26)

Cited by (2)

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License: CC0 · commercial use OK