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Updated: Aug 19, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Transcervical resection of the endometrium: a review of 400 consecutive patients
1Department of Obstetrics and Gynaecology, St John's Hospital, Chelmsford, Essex, UK.
Objective:
To assess the efficacy of transcervical resection of the endometrium (TCRE) in women presenting with menstrual disorders.
Design:
A retrospective audit of 400 patients.
Setting:
The Department of Gynaecology, St John's Hospital, Chelmsford, Essex.
Subjects:
400 consecutive referrals with various bleeding disorders which were suitable for treatment with TCRE.
Interventions:
TCRE, either partially or completely.
Main Outcome Measures:
Patient satisfaction with procedure at 4 months. The procedure was initially recorded as a failure if any further therapy was required but satisfaction after a second procedure was assessed.
Results:
432 procedures were performed in 400 women. Major operative complications were rare with two (0.46%) uterine perforations, four (0.93%) primary haemorrhages requiring Tamponade to control bleeding and one (0.23%) secondary haemorrhage requiring hysterectomy to control it. Glycine toxicity was not clinically apparent. 85% were satisfied after the initial TCRE and 92% were satisfied if the procedure was repeated.
Conclusion:
TCRE is an advance in the management of menstrual disorders. Extensive training is required to minimise complications. The lack of long term follow-up is its major deficiency but this will be rectified in the future.
