[Transcervical intrauterine resection. A surgical technique that is safely controlled and non-traumatic]

The author describes a safe narrow intra-uterine resectoscope which allows complete treatment of benign lesions inside the uterus. A continuous flow of liquid washes away all haemorrhage from the cavity of the uterus and allows a continuous good view. The author reports his three years experience which includes biopsies from eighteen zones of haemorrhage and the successful treatment of 92 submucous fibroids, 81 fibroid polyps, 57 endometrial polyps, 33 cases of synechiae, 8 cases of retained placental products and 7 of septa in the uterus. He says that it is extremely important to have complete histological analyses of all "chips" that are removed by this technique, which is similar to the technique employed for trans-urethral resection of the prostate gland. Histological examination helped to make the diagnosis of 9 cancers which would have been missed had laser been used. Other advantages of this new technique, which requires special training for gynaecologists already mastering open surgery, are the shortness of the time needed to stay in hospital and for convalescence. Furthermore, the uterus is conserved, as is the strength of the uterine wall and this allows normal deliveries to take place.