title: Outcome of repeated hysteroscopic resection of the endometrium.
abstract: OBJECTIVE
  To evaluate the efficacy and safety of repeated endometrial resection.
  
  
  METHODS
  Retrospective study (Canadian Task Force classification II-3).
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  Women with a failed primary endometrial resection.
  
  
  METHODS
  Repeated endometrial resection, roller-ball coagulation, or both.
  
  
  RESULTS
  In all, 65 women had a repeated endometrial resection during the period from January 1995 through December 2002. Data were collected from standardized data sheets, hospital records, and the National Patient Registry of the National Board of Health. The primary outcome measurement was subsequent hysterectomy, and secondary, perioperative complications. The median follow-up time was 56 months (range 40-110 months). In all, 28 (43%) women required a hysterectomy eventually. Six (9%) women had operative complications.
  
  
  CONCLUSIONS
  Repeat endometrial resection is a relatively safe, minimally invasive operation and approximately 60% of women operated on will avoid hysterectomy. The operation should be performed by an experienced hysteroscopic surgeon.
authors.affiliation: Department of Obstetrics and Gynecology, Glostrup Hospital, University of Copenhagen, Glostrup, Denmark. bbh@dadlnet.dk
authors.forename: Bent Brandt
authors.initials: BB
authors.lastname: Hansen
authors.forename: Eva
authors.initials: E
authors.lastname: Dreisler
authors.forename: Søren
authors.initials: S
authors.lastname: Stampe Sørensen
mesh_terms: D000328:Adult; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015907:Hysteroscopy; D007416:Intestinal Perforation / Q000453:epidemiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome