Hysteroscopic management of menstrual disorders: a review of 395 patients.
OBJECTIVE
To evaluate the long-term effectiveness of transcervical resections in menstrual disorders.


METHODS
Retrospective consecutive patient follow-up.


METHODS
From 1987 to 1993, 395 patients with menstrual disorders (menorrhagia and/or metrorrhagia) were treated with operative hysteroscopy in our department. Resection of endometrial polyps was performed in 65 cases, resection of submucous fibroids in 196, and endometrial ablation in 134. Fourty-one patients had a repeat procedure.


RESULTS
Our mean follow-up period was 2.7 years. Thirteen complications were noted (3%), two of which were serious (one hemoperitoneum after uterine perforation, one severe symptomatic hyponatremia). Twenty-eight patients did not remain in contact after hospitalization (7.1%). Menstrual disorders were controlled in 297 patients (75.2%). Failure was noted in 70 patients (17.7%), including hysterectomy in 50 patients and persistent bleeding in 20.


CONCLUSIONS
Hysteroscopic surgery is a satisfying technique for women with abnormal uterine bleeding who want a conservation of the uterus. Better results are noted with resections of polyps and fibroids than with endometrial ablations.
Cravello
L
L
Service de Gynécologie-Obstétrique B, Hôpital de La Conception, Marseille, France.
D'Ercole
C
C
Roge
P
P
Boubli
L
L
Blanc
B
B
D000328:Adult; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D005350:Fibroma / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D008599:Menstruation Disturbances / Q000601:surgery*; D008875:Middle Aged; D011127:Polyps / Q000601:surgery; D012189:Retrospective Studies