Reoperative hysteroscopic surgery in the management of patients who fail endometrial ablation and resection.

摘要: Abstract Study Objective To determine the safety and efficacy of reoperative hysteroscopic surgery for women who fail endometrial ablation resection. Design Retrospective chart review follow-up (Canadian Task Force classification II–2). Setting Private office practice. Patients Twenty-six had undergone or resection experienced failure characterized by intolerable pain, bleeding, asymptomatic hematometra. Intervention Sonographically guided endomyometrial Measurements Main Results Mean length time from initial treatment abnormal uterine bleeding was 41.2 ± 47.9 months. Five (19.2%) required simple dilatation 21 (80.8%) endocervical to achieve access cavity. There were no operative complications. operating 20.3 9.5 minutes. specimen weight 6.7 4.9 g. Adenomyosis present in 15 (57.7%) specimens. Women followed a mean 23.2 22.7 Twenty-three (88.5%) achieved satisfactory results avoided hysterectomy. Three (11.5%) eventually hysterectomy because recurrent pain bleeding. Conclusion Reoperative hysteroscopy is useful managing after failed It produces excellent achieving amenorrhea relief cyclic pelvic thereby avoiding most patients.