[Endometrectomy. Analytical study of 20 cases].

Autor:	Rachdi R; Service de gynécologie obstétriqiue, Hôpital militaire de Tunis., Basly M, Ben Temilile R, Yazidi M, Messaoudi F, Zayene H, Messaoudi L, Chibani M, Bouzaiene A
Jazyk:	francouzština
Zdroj:	La Tunisie medicale [Tunis Med] 2005 Aug; Vol. 83 (8), pp. 463-6.
Abstrakt:	Unlabelled: Endometrial removal represents a therapeutic alternative to hysterectomy. Aims: Through a retrospective study of 20 cases of endometrial removal colleted over a period of 4 years, the authors try to determine the indications of this therapeutic method, its efficiency, its advantages as well as its contra indications. Results: Average age of the patients was 44 years. Average parity was 4. Functional menstrual disorders were found in 90% of cases. Gynaecological examination revealed a uterus of normal size in 85% of cases, and increased in size in 15% of cases. All the women had a preoperative diagnostic hysteroscopy. A simple endometrectomy was performed in 70% of the cases, an endometrectomy with a polypectomy in 25% of the cases and an endométrectomy with a myomectomy in 5% of the cases. The rate of success was 90%. We had a case of uterine perforation, because of uncontrollable bleeding a hysterectomyhad to be carried out in 2 cases. Conclusion: Endometrectomy is an alternative to hysterectomy in cases of menorrhagia due to mild functional disorders resistant to medical treatment.
Databáze:	MEDLINE
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