Clinical Applications of Hysteroscopic Surgery in Postmenopausal Women.
- Author:
Kina UY
1
;
Tae Hee KIM
;
Hae Hyeog LEE
;
Soo Ho CHUNG
;
Byoung Ick LEE
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea. heeobgy@schbc.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Hysteroscopy;
Myomectomy;
Polypectomy;
Hydrometra;
Menopause
- MeSH:
Adenomyosis;
Biopsy;
Endometrial Hyperplasia;
Female;
Hemoglobins;
Hospitalization;
Humans;
Hysteroscopes;
Hysteroscopy;
Menopause;
Metrorrhagia;
Myoma;
Operative Time;
Polyps;
Retrospective Studies;
Uterine Hemorrhage
- From:The Journal of Korean Society of Menopause
2010;16(1):46-51
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: To evaluate the spectrum of hysteroscopic surgery to be extended. METHODS: Forty-three women who underwent hysteroscopic procedures with Urione(R) solution or normal saline as distension media between March 2001 and March 2009 were randomized. The clinical characteristics, laboratory data, and post-operative results were retrospectively analyzed. RESULTS: The following hysteroscopic procedures were performed: endometrial biopsy, 26; endometrial polypectomy, 8; myomectomy, 7; ablation for dysfunctional uterine bleeding and endometrial hyperplasia, 1; and excision of an endometrial mass, 1. The mean size of the myomas was 3.2 cm. The average duration of hospitalization was 2 days. The average change in hemoglobin was 1.1 g/dl. The mean operative time was 36 minutes. CONCLUSION: The indications for hysteroscopic procedures can be extended. Pure intramural myomas, submucosal myomas, endometrial polyps, adenomyosis, endometrial hyperplasia, hydrometra, and abnormal uterine bleeding can be treated via a hysteroscope. Intra-operative transabdominal ultrasonographic guidance can be helpful during hysteroscopic procedures, and reduces the complication and morbidity rates.
