Abstract
To determine the safety and efficacy of endometrial resection, and to provide an indicator of the operative problems and treatment outcomes. Prospective study. Academic practice tertiary care setting. One hundred twenty-six consecutive women undergoing endometrial resection because of menorrhagia, who wished to retain their uterus. Hysteroscopic endometrial resection performed as a day procedure. In 126 women, 2 cases of uterine perforation were readily identified on the operating monitor screen; they had no serious sequelae. Three patients had heavy uterine bleeding, which was controlled by intrauterine tamponade. No women had other serious complications. Hysteroscopic endometrial resection is a safe, successful, and cost-effective treatment of menorrhagia.
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