Hysteroscopic endomyometrial resection for the treatment of menorrhagia — follow-up of 86 cases

In: European Journal of Obstetrics & Gynecology and Reproductive Biology · 1995 · vol. 62(1) , pp. 75–79 · doi:10.1016/0301-2115(95)02177-9 · PMID:7493714 · W2128105002
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Hysteroscopic endomyometrial resection effectively treated menorrhagia in 79 patients, achieving amenorrhea in 25% and hypomenorrhea in 56%, with minimal complications.

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Abstract

ObjectiveThe aim of the study was to determine the effectiveness of hysteroscopic endomyometrial resection in the treatment of menorrhagia.Study designEighty-six women with menorrhagia underwent hysteroscopic endomyometrial resection between November 1990 and November 1993. The surgery was carried out under spinal anesthesia in 54 (64%) of the patients. A standard resectoscope was used and the uterine cavity distended with 2.2% glycine. The mean follow-up period was 22 months (range 4-39).ResultsNo major complications occurred and no fluid overload was reported. One episode of uterine perforation, one of pelvic infection, five episodes of postspinal headache and four of hematometra were recorded. Hysterectomy was performed in five cases. Follow-up information was available on 79 (92%) patients. Amenorrhea was achieved in 20 (25%) patients and hypomenorrhea in 44 (56%) patients. Only three (4%) patients showed no improvement in menstrual flow.ConclusionsHysteroscopic endomyometrial resection is a safe and effective mode of treatment for menorrhagia in selected patients.

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