hysteroscopic endometrial resection: efficacy and factors for failure

Clicks: 322
ID: 175208
2008
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #16 of 78 articles by views in New England Journal of Medicine

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Objective: To evaluate the effectiveness of hysteroscopic endometrial ablation in women with abnormal benign uterine bleeding resistant to clinical treatment, and to identify factors potentially related to its failure. Methods: Ninety patients with abnormal benign uterine bleeding were retrospectively evaluated. They were submitted to endometrial ablation between January 2000 and August 2003. Their mean age was 44.3 years and their average parity was 2.3 childbirths. All patients had been given gonadotrophin-releasing hormone analogues prior to surgery, to make the procedure easier. Rresults: After surgery, amenorrhea occurred in 20% of cases, hypomenorrhea in 30%, and eumenorrhea in 32.2%. In 17.8% of patients, the procedure failed. No intra or postoperative complications occurred. There was no statistically significant difference between the patients in which the ablation failed and those in which it was successful regarding mean age (p = 0.557), parity (p = 0.891), presence of intramural myoma (p= 0.29), submucosal myoma (p = 0.68) or endometrial polyps (p = 0.76). A significant difference between the two groups was observed with regard to the uterine size median (7  cm in the successful group and 9 cm in the failure group, p  = 0.008). A statistically significant difference was also found in follow-up time: 13 months in the first group and nine months in the second group (p = 0.001). Cconclusions: Endometrial ablation is a good treatment method for abnormal uterine bleeding of benign etiology. Special attention must be paid to patients with increased uterine size, since failure is more frequent in these cases.
Reference Key
lima2008einsteinhysteroscopic Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Geraldo Rodrigues de Lima;Fausto Farah Baracat;Umberto Gazi Lippi;Daniella de Batista Depes;Simone Denise David;Reginaldo Guedes Coelho Lopes;José Francisco Dória Ramos
Journal New England Journal of Medicine
Year 2008
DOI
DOI not found
URL
http://www.einstein.br/revista/arquivos/PDF/387-Einsteinv6n2p120-4.pdf
Keywords
retrospective studies hemorrhage prognosismedicine

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.