Hysteroscopic resection of endometrial hyperplasia.
OBJECTIVE
To evaluate the efficacy and safety of hysteroscopic resection of endometrial hyperplasia without atypia.


METHODS
Pilot feasibility study (Canadian Task Force classification II-1).


METHODS
Department of gynecology at a general hospital.


METHODS
Seventy-three women. Intervention. Transcervical hysteroscopic endometrial resection under general or spinal anesthesia.


RESULTS
Efficacy of treatment was based on hysteroscopic and histologic regression of endometrial hyperplasia and subjectively assessed uterine bleeding. Safety was evaluated by adverse events. Forty-four cycling women experienced complete remission of uterine bleeding and none had persistence of endometrial hyperplasia during follow-up; four underwent hysterectomy. Atrophic endometrium was present in 24 menopausal women, one of whom underwent hysterectomy.


CONCLUSIONS
Endometrial resection was effective in achieving regression of endometrial hyperplasia and preventing its recurrence. (J Am Assoc Gynecol Laparosc 6(2):151-154, 1999)
Cianferoni
L
L
Department of Obstetrics and Gynecology, Santa Maria Annunziata Hospital, Florence, Italy.
Giannini
A
A
Franchini
M
M
D000328:Adult; D000368:Aged; D004714:Endometrial Hyperplasia / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D010865:Pilot Projects; D016896:Treatment Outcome