Outcome of repeated hysteroscopic resection of the endometrium.
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.
Hansen
Bent Brandt
BB
Department of Obstetrics and Gynecology, Glostrup Hospital, University of Copenhagen, Glostrup, Denmark. bbh@dadlnet.dk
Dreisler
Eva
E
Stampe Sørensen
Søren
S
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