Experience with the first 250 eridometrial resections for menorrhagia

Magos, Adam; Baumann, R; Lockwood, Gina; Turnbull, A. C.

doi:10.1016/0140-6736(91)91718-a

Cited by 289 publications

(156 citation statements)

References 17 publications

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“…The rate of uterine perforation was higher as compared to other reports which is explained by the fact that practically all perforations occurred in the initial phase, were recognised and managed laparoscopically [5], the high incidence of minor morbidity, principally infection, in the hysterectomy group is similar to that previously reported.…”

Section: Discussionsupporting

confidence: 80%

Transcervical Resection of Endometrium — Will it edge out Hysterectomy

Duggal

Wadhwa

Narayan

et al. 2003

Medical Journal Armed Forces India

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The most frequent indication for hysterectomy is menorrhagia, even though the uterus is normal in a large number of patients. Transcervical resection of the endometrium (TCRE) is a less drastic alternative, but success rates have varied and menorrhagia can recur. 60 patients with menorrhagia due to various causes who failed to respond to medical therapy and did not desire pregnancy and hysterectomy underwent TCRE with hysteroscope. 56 cases have been followed up postoperatively for 3 years. The primary endpoints were women's satisfaction and need for further surgery. The proportion of patients who attained amennorhea 24 months after the procedure was 44.4% and the percentage of patients who attained hypomennorhea was 44.4%. The patients satisfaction rate after 24 months of follow up was 88.8%. Failure of TCRE procedure was encountered in 6.6% of patients. Randomized comparison with hysterectomy has shown short-term benefits in the form of shorter operating time, fewer complications and faster rates of recovery and almost as high satisfaction levels. TCRE is an effective procedure in treating menorrhagia and is an acceptable alternative to medical management and hysterectomy in the treatment of menorrhagia for many women with no other serious disorders.

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Section: Discussionsupporting

confidence: 80%

Transcervical Resection of Endometrium — Will it edge out Hysterectomy

Duggal

Wadhwa

Narayan

et al. 2003

Medical Journal Armed Forces India

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“…The reported amenorrhoea rates for TCRE and Mirena alone are quite similar, with 23-45% of TCRE patients [4][5][6][7][11][12][13] and 20-50% of those with a Mirena [1] reporting a complete absence of menstrual periods. When TCRE and Mirena are combined, the amenorrhoea rate was significantly higher, 67%.…”

Section: Discussionmentioning

confidence: 54%

TCRE and Mirena: is the combination better?

Low

Smith

2006

Gynecol Surg

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In the management of menorrhagia, endometrial ablation techniques or intra-uterine progesterone-containing devices are employed when medical therapy fails. We postulated that the insertion of a Mirena IUS at the time of a TCRE would improve upon the success rates found when either is user individually. In a small pilot study, we identified patients who had both a TCRE and Mirena over a 26 month period. Those younger than 45, with a follow-up period of one year formed the final study group of 18. There were high rates of patient satisfaction, with a significant reduction in menstrual bleeding in the majority of patients. An amenorrhoea rate of 67% was achieved, which is significantly higher than the rates found with either TCRE or Mirena alone.

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“…O preparo pré-operatório do endométrio com o uso de análogos de GnRH tem sido recomendado por vários autores com o objetivo de facilitar o procedimento 10 . Além de se ter uma espessura menor do endométrio, o sangramento intra-operató-rio também é menor, diminuindo desta maneira o tempo cirúrgico e utilizando-se um menor volume de líquido distensor, o que faz diminuir as chances de hipervolemia.…”

Section: Discussionunclassified

“…Os resultados desta experiência com 200 casos mostrou uma melhora de 90% da sintomatologia hemorrágica. Estes resultados são similares aos descritos na literatura [10][11][12][13][14] . Um certo grau de adenomiose foi encontrado em 32 pacientes no material de ablação do endométrio, o que leva a questionar se a adenomiose está relacionada com a falha do mé-todo e desta maneira as pacientes portadoras de adenomiose estariam excluídas desta opção terapêutica.…”

Section: Discussionunclassified

Ablação Histeroscópica do Endométrio no Tratamento da Menorragia: Seguimento de 200 Casos

Viscomi¹,

Martins²,

Pastore³

2001

Rev. Bras. Ginecol. Obstet.

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. Em torno de 20 a 25% destes casos trata-se de sangramento uterino anormal de causa benigna, rebeldes a tratamento clínico, sem patologia uterina. Até há poucos anos as mulheres que não respondessem a tratamento clínico hormonal estavam limitadas a optar por submeter-se à histerectomia ou continuar com seus fluxos menstruais abundantes. A partir da identificação de que a síndrome de Asherman, que é a presença de sinéquias dentro da cavidade uterina, ocasiona amenorréia ou oligomenorréia, qualquer técnica capaz de produzir uma síndrome de Asherman poderia parar o fluxo menstrual aumentado destas pacientes. Surgiram várias técnicas

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Experience with the first 250 eridometrial resections for menorrhagia

Cited by 289 publications

References 17 publications

Transcervical Resection of Endometrium — Will it edge out Hysterectomy

Transcervical Resection of Endometrium — Will it edge out Hysterectomy

TCRE and Mirena: is the combination better?

Ablação Histeroscópica do Endométrio no Tratamento da Menorragia: Seguimento de 200 Casos

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