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[Hysteroscopic resection of myomas]
The authors give an account of their initial experience with hysteroscopic resection of myomas. During the investigation period (January 1991-August 1992) 34 of these operations were performed. In all instances at the same time laparoscopy was performed. The operation was free from complications in 26 patients (76.5%), in three instances (8.8%) peroperative haemorrhage developed, in 4 (11.8%) postoperative haemorrhage and in one instance (2.9%) perforation of the uterine wall. In 29 (85.3%) thus operated patients the menstrual cycle became normal within three months, after this period of time amenorrhoea persisted in three patients (8.8%). Two women (5.9%) reported irregular bleeding after the operation. To improve the success of the operation accurate indication is necessary, preferably based on previous diagnostic hysteroscopy, and improvement of the surgical technique.
The authors give an account of their initial experience with hysteroscopic resection of myomas. During the investigation period (January 1991-August 1992) 34 of these operations were performed. In all instances at the same time laparoscopy was performed. The operation was free from complications in 26 patients (76.5%), in three instances (8.8%) peroperative haemorrhage developed, in 4 (11.8%) postoperative haemorrhage and in one instance (2.9%) perforation of the uterine wall. In 29 (85.3%) thus operated patients the menstrual cycle became normal within three months, after this period of time amenorrhoea persisted in three patients (8.8%). Two women (5.9%) reported irregular bleeding after the operation. To improve the success of the operation accurate indication is necessary, preferably based on previous diagnostic hysteroscopy, and improvement of the surgical technique.