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Hysteroscopic resection of endometrial hyperplasia
L Cianferoni1, A Giannini, M Franchini
1Department of Obstetrics and Gynecology, Santa Maria Annunziata Hospital, Florence, Italy.
Study Objective:
To evaluate the efficacy and safety of hysteroscopic resection of endometrial hyperplasia without atypia.
Design:
Pilot feasibility study (Canadian Task Force classification II-1).
Setting:
Department of gynecology at a general hospital.
Patients:
Seventy-three women. Intervention. Transcervical hysteroscopic endometrial resection under general or spinal anesthesia.
Measurements And Main 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.
Conclusion:
Endometrial resection was effective in achieving regression of endometrial hyperplasia and preventing its recurrence. (J Am Assoc Gynecol Laparosc 6(2):151-154, 1999)