10472
document
Hysteroscopic transcervical endometrial resection versus thermal destruction for menorrhagia : a prospective randomized trial on satisfaction rate . OBJECTIVE The purpose of this study was to compare the satisfaction rate and the effectiveness of transcervical hysteroscopic endometrial resection and thermal destruction of the endometrium in the treatment of menorrhagia . STUDY DESIGN A prospective randomized trial with 2 years of follow-up was carried out in the Department of Gynecology of the University of Naples . Eighty-two patients who were affected by menorrhagia that was unresponsive to medical treatment were respectively randomized to transcervical hysteroscopic endometrial resection or to thermal destruction of the endometrium . Satisfaction rate , operative time , discharge time , complication rate , reintervention rate , and resumption of normal activity were evaluated in each group . RESULTS The satisfaction rate was significantly higher in the thermal destruction group . Operative time was significantly shorter in the thermal destruction group ( 24 +/- 4 minutes vs 37 +/- 6 minutes ) . Intraoperative blood loss was significantly lower in the thermal destruction group ( 7.2 +/- 2.8 mL vs 89 +/- 38 mL ) . Reintervention rates were higher in the transcervical hysteroscopic endometrial resection group , although postoperative pain was not significantly different between the two groups . Discharge time , complication rate , and resumption of normal activity were not significantly different between the two groups . CONCLUSION Thermal destruction of the endometrium for the treatment of menorrhagia should be considered an effective therapeutic option because of its acceptability among patients , shorter operative time , and lower blood loss .
10473
Intervention_Surgical
Hysteroscopic transcervical endometrial resection
10474
Intervention_Surgical
thermal destruction
10475
Intervention_Surgical
transcervical hysteroscopic endometrial resection
10476
Intervention_Surgical
thermal destruction
10477
Intervention_Surgical
transcervical hysteroscopic endometrial resection
10478
Intervention_Surgical
thermal destruction of the endometrium
10479
Intervention_Surgical
thermal destruction
10480
Intervention_Surgical
transcervical hysteroscopic endometrial resection
10481
Intervention_Surgical
Thermal destruction of the endometrium
10482
Outcome_Other
satisfaction rate
10483
Outcome_Other
effectiveness
10484
Outcome_Other
Satisfaction rate
10485
Outcome_Other
operative time
10486
Outcome_Other
discharge time
10487
Outcome_Adverse-effects
complication rate
10488
Outcome_Other
reintervention rate
10489
Outcome_Other
resumption of normal activity
10490
Outcome_Other
satisfaction rate
10491
Outcome_Other
Operative time
10492
Outcome_Adverse-effects
Intraoperative blood loss
10493
Outcome_Other
Reintervention rates
10494
Outcome_Other
Discharge time
10495
Outcome_Adverse-effects
complication rate
10496
Outcome_Other
resumption of normal activity
10497
Outcome_Other
acceptability
10498
Outcome_Other
shorter operative time
10499
Outcome_Other
lower blood loss
10500
Participant_Condition
menorrhagia
10501
Participant_Condition
unresponsive to medical treatment