Emergency endometrial resection in women with acute, severe uterine bleeding

Study Objective. To evaluate the efficacy and safety of endometrial hystero scopic resection in the treatment of severe uterine bleeding. Design. Pilot feasibility study (Canadian Task Force classification IL-2). Setting. Department of gynecology at a general hospital. Patients. Twenty-six women with severe uterine bleeding. Intervention. Hysteroscopic transcervical endometrial resection under gener al anesthesia. Measurements and Main Results, Bleeding had a benign organic cause in 25 wo men. One endometrial carcinoma was detected in endometrial chips in a postm enopausal woman and was managed with hysterectomy. Fifteen cycling women ex perienced complete remission of uterine bleeding; one underwent hysterectom y during follow-up. Atrophic endometrium, was present in nine menopausal wo men during follow up. Conclusion, Endometrial transcervical resection was effective in controllin g heavy bleeding, preventing future episodes of severe bleeding, and avoidi ng further medical or surgical treatment during 19 months of follow-up.