Abstract
Endometrial ablation can be performed using a variety of techniques, including resectoscopic
or non-resectoscopic approaches. In this study, we compared 2 resectoscopic endometrial
ablation techniques. The first technique was rollerball coagulation followed by endometrectomy
(type A; n = 103), and the second was the reverse (type B; n = 107). Besides excessive
bleeding in 4 cases, the procedures were uneventful in both groups of patients. We
did not encounter uterine perforation or cervical laceration. Satisfaction rates were
97% and 99% with an overall hysterectomy rate of 2.9%. These results compared favorably
with those in the literature. The results of our study show that hysteroscopic endometrectomy
is effective with few associated complications.
Résumé
L’ablation de l’endomètre peut être effectuée au moyen de différentes techniques,
y compris par voie résectoscopique ou non résectoscopique. Dans cette étude, nous
avons comparé deux techniques d’ablation de l’endomètre par résectoscopie. La première
technique a été la coagulation à la bille (rollerball) suivie d’une endométrectomie (type A; n = 103); la deuxième consistait en l’inverse
(type B; n = 107). Hormis 4 cas de saignements excessifs, les interventions se sont
déroulées sans complication dans les deux groupes de patientes. Aucun cas de perforation
utérine ni de lacération du col utérin n’a été observé. Les taux de satisfaction étaient
de 97 % et 99 %, et le taux global d’hystérectomie s’est élevé à 2,9 %. Ces résultats
se comparent favorablement à ceux déjà publiés dans la littérature. Les résultats
de notre étude montrent que l’endométrectomie hystéroscopique est efficace et associée
à peu de complications.
Keywords
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References
- In which cases should endometrial destruction be performed during an operative hysteroscopy? Clinical practice guidelines from the French College of Gynaecologists and Obstetricians (CNGOF).J Gynecol Obstet Hum Reprod. 2021; 50102188
- Endometrial ablation.Best Pract Res Clin Obstet Gynaecol. 2018; 46: 120-139
- Endometrial ablation: first- vs. second-generation techniques.Minerva Ginecol. 2016; 68: 143-153
- First- versus second-generation endometrial ablation devices for treatment of menorrhagia: a systematic review, meta-analysis and appraisal of economic evaluations.J Obstet Gynaecol Canada. 2013; 35: 1010-1019
- Hysterectomy after endometrial ablation-resection.J Am Assoc Gynecol Laparosc. 2004; 11: 495-499
Article info
Publication history
Published online: August 04, 2022
Accepted:
July 5,
2022
Received:
January 28,
2022
Footnotes
Disclosures: Togas Tulandi is editor-in-chief of the Journal of Obstetrics and Gynaecology Canada.
All authors have indicated they meet the journal’s requirements for authorship.
Identification
Copyright
© 2022 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
