Hysterectomy following failed endometrial resection
article
OA: closed
CC0
⤵ 1 in-corpus citation
Abstract
Of the first 500 women in Oxford to undergo transcervical resection of the endometrium, 101 (20%) have subsequently undergone hysterectomy. This study was undertaken to assess the reasons for failure of endometrial resection. An audit of the case notes of the 101 women requiring hysterectomy was performed. Data collection included the patient's age, weight, parity, reasons for endometrial resection, details of the endometrial resection, reasons for hysterectomy, hysterectomy findings and uterine histology. Six (6%) hysterectomies were performed as emergency operations during endometrial resection, 33 (33%) were performed for persistent menorrhagia, 39 (39%) for recurrent menorrhagia and in 18 women (18%) for pelvic pain. The duration of success following endometrial resection ranged from 0 to 21 months. Hysterectomy was significantly more common in older women under 40 years of age, in the presence of an enlarged fibroid uterus, when complications at endometrial resection had occurred and in women operated on by relatively inexperienced surgeons. Endometrium ws present in 96% of hysterectomy specimens. Uterine malignancy that had not been diagnosed at transcervical resection of the endometrium was present at hysterectomy in two women. Hysterectomy should be considered in preference to endometrial resection for treatment of menorrhagia in women who are less than 40 years old and in the presence of large intramural fibroids.
My notes (saved in your browser only)
Citation neighborhood (sparse)
Too few in-corpus citations on either side for a chart; here are the lists.
Cites (4)
- The histopathology of transcervical resection of the endometrium: an analysis of 200 cases 1993
- Problems with endometrial resection. 1991
- Does hysteroscopic endometrial resection cause endometriosis? 1991
- Haematometra, haematosalpinx and endometriosis following endometrial resection 1993
Cited by (1)
References (11)
- Does hysteroscopic endometrial resection cause endometriosis? via openalex
- Haematometra, haematosalpinx and endometriosis following endometrial resection via openalex
- Problems with endometrial resection. via openalex
- The histopathology of transcervical resection of the endometrium: an analysis of 200 cases via openalex
- W2112710784 via openalex
- W2223040945 via openalex
- W1862809745 via openalex
- W4285719527 via openalex
- W1986872219 via openalex
- W2019664919 via openalex
- W2038827708 via openalex
Cited by (1)
Source provenance
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0
· commercial use OK