Hysteroscopic management of menstrual disorders: a review of 395 patients

Cravello, L.; d’Ercole, C.; Roge, P.; Boubli, L.; Blanc, B.

doi:10.1016/0301-2115(96)02451-7

Cited by 25 publications

(10 citation statements)

References 11 publications

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“…Le taux de complications de l'hystéroscopie opératoire dans notre étude est très bas (1-3 %) confirmant celui de la littérature [25][26][27][28] si toutes les conditions nécessaires sont respectées. Les complications les plus fréquemment rencontrées dans la littérature sont la perforation de l'utérus, les saignements et l'endométrite.…”

Section: Discussionunclassified

Résultats à long terme de la résection des polypes endométriaux chez 367 patientes. Place de l'endométrectomie associée

Polena

Mergui

Zerat

et al. 2005

Gynécologie Obstétrique & Fertilité

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Section: Discussionunclassified

Résultats à long terme de la résection des polypes endométriaux chez 367 patientes. Place de l'endométrectomie associée

Polena

Mergui

Zerat

et al. 2005

Gynécologie Obstétrique & Fertilité

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“…The authors' review of the traditional hysteroscopic technique literature finds the ideal studies to be those that are composed of large numbers of patients followed for 5 or more years. In addition to complication data, one report discusses freedom from menorrhagia, 9 while two others address the risk of hysterectomy following endometrial ablation, 10, 16 The remaining articles are largely selected because of long‐term follow up 17–22 or large numbers of patients 23,24 . Thermoregulated radiofrequency endometrial ablation yields 2‐year results which compare favourably with those reported for hysteroscopically guided laser or electrosurgical ablation.…”

Section: Discussionmentioning

confidence: 99%

Endometrial ablation by electroballoon coagulation: long‐term results

Gallinat

Cosgriff²

2001

Gynaecol Endoscopy

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Objective To evaluate the safety and efficacy of electroballoon coagulation (Vesta™ system) for the treatment of dysfunctional uterine bleeding. Design Prospective single‐arm study with continuous follow up of at least 24 months. Setting Specialized free‐standing centre for gynaecological endoscopy. Patients 124 women suffering from menorrhagia in whom medical treatment had previously failed. Intervention Vesta endometrial ablation following hysteroscopic evaluation of the uterine cavity. Measurements and main results In 122 patients complete 24‐month follow‐up data were available; 52% of patients reported amenorrhea or very minimal bleeding and 34% of patients reported hypomenorrhea. Conclusion The Vesta system is a safe and effective method of endometrial ablation resulting in a very high success rate as evidenced by a low complication rate and the quantitative measure of post‐treatment menstrual bleeding.

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“…The additional advantage is that complete removal of the polyps may improve symptoms. 11,[19][20][21] Current trends and developments are gravitating towards endometrial ablation in the outpatient setting, using a variety of intrauterine devices. Usually the relevant device literature states the necessity of accurate pre-assessment of the uterine cavity before treatment, which can be contraindicated by the presence of endometrial polyps or submucous fibroids.…”

Section: Discussionmentioning

confidence: 99%

Blind endometrial biopsies: insufficient for diagnosis in women with intrauterine pathology

et al. 1998

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Objective To evaluate blind and directed endometrial biopsies for histological diagnosis in the presence of intrauterine pathology. Design A prospective study comparing the information obtained at outpatient hysteroscopy with undirected endometrial biopsy with subsequent pathological findings obtained after transcervical resection (TCR) of intrauterine polyps. Setting The Department of Obstetrics and Gynaecology, The Royal Surrey County Hospital, Guildford, 1991–1996. Subjects 414 women who were diagnosed as having intrauterine abnormalities, 177 of whom opted for transcervical resection. Main outcome measures Outcomes of referrals to a ‘one‐visit clinic’, with particular reference to that group of patients undergoing TCR. Comparisons between the histological findings obtained from blind endometrial biopsy and those from TCR specimens. Results 414/1022 women had intrauterine abnormalities identified by flexible hysteroscopy, and 177 (42.8%) opted for TCR. The histological findings from the TCR specimens differed from the endometrial biopsies by 30% overall, and the discrepancies included two carcinomas and three complex hyperplasias with atypia. Conclusion We suggest that, in women with abnormal uterine bleeding, the use of blind endometrial biopsy alone as a screening technique should be questioned. Outpatient hysteroscopy should be offered to women with abnormal uterine bleeding, with directed biopsy or transcervical resection for those in whom intrauterine polyps have been identified.

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Hysteroscopic management of menstrual disorders: a review of 395 patients

Cited by 25 publications

References 11 publications

Résultats à long terme de la résection des polypes endométriaux chez 367 patientes. Place de l'endométrectomie associée

Résultats à long terme de la résection des polypes endométriaux chez 367 patientes. Place de l'endométrectomie associée

Endometrial ablation by electroballoon coagulation: long‐term results

Blind endometrial biopsies: insufficient for diagnosis in women with intrauterine pathology

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