RESUMO
BACKGROUND: Many women experience menorrhagia episodes resistant to medical treatment requiring definitive surgical treatment. OBJECTIVE: To analyze the effectiveness of hysteroscopic endometrial resection versus Novasure system. MATERIAL AND METHODS: A descriptive and retrospective study comparing 20 patients who underwent endometrial ablation with Novasure vs 20 patients who underwent hysteroscopic endometrial resection. We analyzed the indication, age, time of surgery, the incidence of complications, satisfaction at 3, 6 and 12 months and technical failure. RESULTS: No significant differences were found in terms of failure to complete the technique, and satisfaction at 3, 6 and 12 months. But significant differences regarding the mean operation time, which was reduced to 15 minutes among Novasure system patients. This could influence the total costs of the procedure. CONCLUSION: There were no significant differences between the two methods in terms of efficacy and safety; however, the final costs seem to be higher for the Novasure system.
Assuntos
Eletrocirurgia , Técnicas de Ablação Endometrial/métodos , Histeroscopia , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
Uterine fibroids are the most frequent solid benign tumors of the female pelvis. The most frequent location is the uterine corpus; however, it has been also reported in cervical placement and broad ligament. Rarely it has been reported a case of intestinal fibroid after previous history of myomectomy. We report the case of a patient, with no surgical history of interest, who underwent a diagnostic laparoscopy due to suspicion of malignant abdominal mass. Ajejunal fibroid was found, which was removed via laparoscopy without complications. Laparoscopy may be considered in case of intestinal fibriod despite its rarity, due to the better postoperative recovery and cosmetic outcomes compared to laparotomy.