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Transcervical endometrial resection
1Department of Obstetrics and Gynaecology, B Floor, Clinical Sciences Building, Royal Brisbane Hospital, Herston, Queensland 4029, Australia.
Summary
Hysteroscopic endometrial resection is a safe and effective treatment for menorrhagia. This procedure offers a successful and cost-effective solution for women seeking uterine preservation.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Menorrhagia significantly impacts women's quality of life.
- Uterine-preserving treatments are sought by many patients.
Purpose of the Study:
- To evaluate the safety and efficacy of hysteroscopic endometrial resection.
- To assess operative challenges and treatment outcomes for menorrhagia.
Main Methods:
- Prospective study design.
- Hysteroscopic endometrial resection performed as a day procedure.
- 126 women with menorrhagia seeking uterine preservation were included.
Main Results:
- Two cases of uterine perforation occurred with no serious sequelae.
- Three patients experienced heavy uterine bleeding, managed with intrauterine tamponade.
- No other severe complications were reported in 126 women.
Conclusions:
- Hysteroscopic endometrial resection is a safe and successful treatment for menorrhagia.
- The procedure is a cost-effective option for managing heavy menstrual bleeding.