Emergency endometrial resection in women with acute, severe uterine bleeding.
OBJECTIVE
To evaluate the efficacy and safety of endometrial hysteroscopic resection in the treatment of severe uterine bleeding.


METHODS
Pilot feasibility study (Canadian Task Force classification II-2).


METHODS
Department of gynecology at a general hospital.


METHODS
Twenty-six women with severe uterine bleeding.


METHODS
Hysteroscopic transcervical endometrial resection under general anesthesia.


RESULTS
Bleeding had a benign organic cause in 25 women. One endometrial carcinoma was detected in endometrial chips in a postmenopausal woman and was managed with hysterectomy. Fifteen cycling women experienced complete remission of uterine bleeding; one underwent hysterectomy during follow-up. Atrophic endometrium was present in nine menopausal women during follow up.


CONCLUSIONS
Endometrial transcervical resection was effective in controlling heavy bleeding, preventing future episodes of severe bleeding, and avoiding further medical or surgical treatment during 19 months of follow-up.
Department of Obstetrics and Gynecology, Santa Maria Annunziata Hospital, Florence, Italy.
M
M
Franchini
L
L
Cianferoni
D004564:Electrocoagulation / Q000379:methods; D004632:Emergency Medical Services; D004717:Endometrium / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008297:Male; D008595:Menorrhagia / Q000601:surgery*; D010865:Pilot Projects; D014592:Uterine Hemorrhage / Q000601:surgery*