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Updated: Aug 17, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
A review of 80 endometrial resections for menorrhagia
Objective:
To assess the efficacy of endometrial resection in treating menorrhagia.
Design:
A clinical audit of 80 consecutive patients.
Setting:
The department of gynaecology, Ealing Hospital, London.
Subjects:
Eighty women referred by their general practitioner with the primary complaint of menorrhagia.
Interventions:
Endometrial resection by hysteroscopic electro-diathermy.
Main Outcome Measures:
Subjective assessment of the change in menstrual blood loss by the 75 patients, who were followed up for at least one year.
Results:
Of 75 women assessed after 1 year 45 (60%) had a successful outcome and nine (12%) had 'some improvement'. There were 21 failures; 14 reported 'no improvement' initially and seven were late failures after a good result at 6 months. Fifteen underwent a second procedure with 83% success at 6 months. Complications included uterine perforation in three women, excessive glycine absorption in two, and two women had problems with haemorrhage. Four women came to hysterectomy.
Conclusions:
Endometrial resection is an effective treatment for menorrhagia. Improvements in operative technique and equipment gave better results and fewer complications in the second half of the series.
