[Endometrectomy. Analytical study of 20 cases].
Endometrial removal represents a therapeutic alternative to hysterectomy.


OBJECTIVE
Through a retrospective study of 20 cases of endometrial removal colleted over a period of 4 years, the authors try to determine the indications of this therapeutic method, its efficiency, its advantages as well as its contra indications.


RESULTS
Average age of the patients was 44 years. Average parity was 4. Functional menstrual disorders were found in 90% of cases. Gynaecological examination revealed a uterus of normal size in 85% of cases, and increased in size in 15% of cases. All the women had a preoperative diagnostic hysteroscopy. A simple endometrectomy was performed in 70% of the cases, an endometrectomy with a polypectomy in 25% of the cases and an endométrectomy with a myomectomy in 5% of the cases. The rate of success was 90%. We had a case of uterine perforation, because of uncontrollable bleeding a hysterectomyhad to be carried out in 2 cases.


CONCLUSIONS
Endometrectomy is an alternative to hysterectomy in cases of menorrhagia due to mild functional disorders resistant to medical treatment.
Rachdi
R
R
Service de gynécologie obstétriqiue, Hôpital militaire de Tunis.
Basly
M
M
Ben Temilile
R
R
Yazidi
M
M
Messaoudi
F
F
Zayene
H
H
Messaoudi
L
L
Chibani
M
M
Bouzaiene
A
A
D000328:Adult; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008595:Menorrhagia / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014626:Vaginal Smears