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Evaluation of Hysteroscopic Endometrectomy: A Reappraisal

Published:August 04, 2022DOI:https://doi.org/10.1016/j.jogc.2022.07.001

      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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