Treatment of menorrhagia with the levonorgestrel intrauterine system versus endometrial resection.

Objective: Treatment of menorrhagia with levonorgestrel intrauterine system (LNG IUS) and transcervical resection.

Design: An open, therapeutic, randomized study.

Setting: Central county hospital specializing in hysteroscopy.

Fluid balance during hysteroscopic surgery.

Absorption of irrigating solution may involve serious complications during hysteroscopic surgery. This absorption occurs mainly into the vessels opened during the procedure. Careful perioperative monitoring of the deficit of collected irrigating medium during transcervical surgery is mandatory.

The relationship between preoperative endometrial thickness, the anteroposterior diameter of the uterus and clinical outcome following transcervical resection of the endometrium.

The objective of this study was to identify whether the endometrial thickness, or the anteroposterior diameter of the uterus as assessed by transvaginal ultrasonography (TVS), could be used to predict the clinical outcome following transcervical resection of the endometrium (TCRE). An open observational trial was carried out, involving 195 consecutive patients undergoing TCRE, 188 of whom completed follow-up. The patients were examined by TVS preoperatively, and then 6 weeks, 6 months and 1 year following TCRE.

Hormone replacement therapy after transcervical resection of the endometrium.

Objective: To determine if women who have undergone transcervical resection of the endometrium can be treated safely with estrogens alone.

Methods: Sixty-two postmenopausal women who had undergone endometrial resection were recruited into a double-blind, randomized study. Twenty-one had menopausal symptoms at the primary operation and were recruited at the time of the surgery, and 38 were recruited an average of 20 months (range 8-42) after the primary endometrial resection and underwent a second resection to remove any residual endometrium before entering the study.

The incidence of fallopian tube patency after transcervical resection of the endometrium including rollerball diathermy to the tubal ostia.

Objective: To evaluate the incidence of tubal patency as well as the shape of the endometrial cavity after transcervical resection of the endometrium.

Design: An open observational trial.

Setting: The obstetrics and gynecology unit at a district hospital in Norway.