Diagnostic and therapeutic advantages of hysteroscopic surgery in management of intrauterine lesions in postmenopausal women.
J Am Assoc Gynecol Laparosc
; 8(1): 87-91, 2001 Feb.
Article
em En
| MEDLINE
| ID: mdl-11172120
ABSTRACT
STUDY OBJECTIVE:
To determine the value of hysteroscopic surgery in the management of intrauterine lesions in postmenopausal women.DESIGN:
Descriptive study (Canadian Task Force classification II-2).SETTING:
Tertiary care university hospital. Patients. Fifty postmenopausal women, most with vaginal bleeding, all with intrauterine lesions (leiomyomas, polyps, adhesions) on hysteroscopy or ultrasound. INTERVENTION Hysteroscopic operations consisting of myomectomy, polypectomy, and adhesiolysis. MEASUREMENTS AND MAINRESULTS:
Forty-seven procedures were completed successfully by hysteroscopy; partial myomectomies were performed in three women for large or deeply embedded leiomyomas. The only complication was one case of fluid overload. Median operating time was 20.0 minutes (range 5.0-60.0 min) and median postoperative hospital stay was zero days (range 0-2 days). Eight patients (16%) subsequently underwent hysterectomy, mostly for uterine malignancy or premalignancy. In two cases, the operative specimen included malignant elements that were not evident on preoperative endometrial biopsy. During mean follow-up of 33.1 months (range 6-72 mo), 95.2% of women without hysterectomy were free of symptoms.CONCLUSION:
Hysteroscopic surgery is an effective and safe option for postmenopausal women with intrauterine lesions. It allows the correct diagnosis to be made, reduces the need for major and unnecessary surgery, and is therapeutic in most patients. (J Am Assoc Gynecol Laparosc 8(1)87-91, 2001)
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Histeroscopia
/
Doenças dos Genitais Femininos
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Am Assoc Gynecol Laparosc
Assunto da revista:
GINECOLOGIA
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Reino Unido