A review of 80 endometrial resections for menorrhagia.
OBJECTIVE
To assess the efficacy of endometrial resection in treating menorrhagia.


METHODS
A clinical audit of 80 consecutive patients.


METHODS
The department of gynaecology, Ealing Hospital, London.


METHODS
Eighty women referred by their general practitioner with the primary complaint of menorrhagia.


METHODS
Endometrial resection by hysteroscopic electro-diathermy.


METHODS
Subjective assessment of the change in menstrual blood loss by the 75 patients, who were followed up for at least one year.


RESULTS
Of 75 women assessed after 1 year 45 (60%) had a successful outcome and nine (12%) had 'some improvement'. There were 21 failures; 14 reported 'no improvement' initially and seven were late failures after a good result at 6 months. Fifteen underwent a second procedure with 83% success at 6 months. Complications included uterine perforation in three women, excessive glycine absorption in two, and two women had problems with haemorrhage. Four women came to hysterectomy.


CONCLUSIONS
Endometrial resection is an effective treatment for menorrhagia. Improvements in operative technique and equipment gave better results and fewer complications in the second half of the series.
Pyper
R J
RJ
Department of Reproductive Physiology, St Bartholomew's Hospital, London.
Haeri
A D
AD
D000328:Adult; D004564:Electrocoagulation; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D008485:Medical Audit; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D011184:Postoperative Period; D012086:Reoperation; D016896:Treatment Outcome