ENDOMETRIAL RESECTION IN THE MANAGEMENT O F MENOMETRORRHAGIA REFRACTORY TO MEDICAL-TREATMENT

The authors report the results of 197 endometrectomies and analyse the indications, complications and long-term results. A retrospective ana lysis was perfomed at La Conception Hospital, Department of Gynaecolog y-Obstetrics, Prof Blanc, Marseille, between June 1988 and June 1994. The mean follow up was 53 months. 197 endometrectomies were perfomed i n 186 women during this period. The indication was menometrorrhagia fa iling to respond to medical therapy. We considered patients to be cure d when they no longer suffered from menorrhagia or metrorrhagia and wh en hormone replacement therapy could be started or continued. The succ ess rate with a follow-up of 7 years was 70%. The failure rate was cor related with the woman's age, hysterometry data and histological resul ts. The complication rate was 2,5%. Endometrectomy appears to be a saf e and successful technique for the treatment of menometrorrhagia.