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Transcervical resection of endometrium and fibroids. Initial complications
- Source :
- Istre, O, Schiötz, H, Sadik, L, Vormdal, J, Vangen, O & Forman, A 1991, ' Transcervical resection of endometrium and fibroids. Initial complications ', Acta Obstetricia et Gynecologica Scandinavica, vol. 70, no. 4-5, pp. 363-6 ., Aarhus University
- Publication Year :
- 1991
-
Abstract
- Transcervical resection of endometrium--and of submucous fibroids when present--seems to represent a new alternative to hysterectomy for patients with uncontrolled bleeding disorders. In the present study, we report our initial experience with the first 20 patients treated with a standard, rigid urological resectoscope. Resection of endometrium--and of fibroids when present--was carried out under general anesthesia. The uterine cavity was distended and irrigated with glycine 1.5%. Two perforations occurred, but damage to neighboring organs was not seen. In one patient, copious bleeding was encountered and hysterectomy became necessary the following day. Clinical signs of postoperative infection occurred in 3 patients. Otherwise, no major morbidity was seen during or after the procedure. In 2 patients with persistent metrorrhagia, re-resection was performed after 2-3 months and satisfactory bleeding control achieved. At the 3-month follow-up, 2 further patients complained of persistent bleeding and had an abdominal hysterectomy performed. In the remaining patients, satisfactory bleeding control was reported at the 6-month follow-up. Although large series are needed to assess the complications associated transcervical resection of the endometrium, the technique may be applied in departments with experience in routine hysteroscopy, and the approach seems to represent an attractive alternative to hysterectomy.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Uterus
Endometrium
Postoperative Complications
medicine
Methods
Humans
Intraoperative Complications
Menorrhagia
Aged
Hysterectomy
medicine.diagnostic_test
Leiomyoma
business.industry
Obstetrics and Gynecology
Metrorrhagia
Diathermy
General Medicine
Middle Aged
Surgery
medicine.anatomical_structure
Hysteroscopy
Uterine Neoplasms
Female
Uterine cavity
medicine.symptom
Complication
business
Subjects
Details
- ISSN :
- 00016349
- Volume :
- 70
- Issue :
- 4-5
- Database :
- OpenAIRE
- Journal :
- Acta obstetricia et gynecologica Scandinavica
- Accession number :
- edsair.doi.dedup.....64bfbdbd1a4f2e850406a39d458c1525