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Repeat Resection Of Endometrium Safe and Effective.

ORLANDO, FLA. -- Repeat resection of the endometrium following a failed resection is safe and worthwhile in most cases, Dr. Olav Istre said at the annual meeting of the American Association of Gynecologic Laparoscopists.

Of 750 women who underwent primary transcervical resection of the endometrium (TCRE) for dysfunctional uterine bleeding, 114 required a repeat resection, according to a retrospective analysis.

The most common reason for repeat resection was pain, which was a problem in 42% of the patients. Other reasons included heavy bleeding (39%), the development of fibroids (13%), perforation at the time of the primary TCRE (5%), and fluid deficit (5%), said Dr. Istre of Ullevaal University Hospital, Oslo. Of the 114 who underwent repeat resection, 26% eventually required a hysterectomy.

Nonetheless, the repeat resection was safe in these patients and was effective for the remaining 74% of patients in whom the resection was successful. The 30 women who eventually underwent hysterectomy most often did so because of pain. Other reasons included persistent bleeding and fibroids.
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Author:Worcester, Sharon
Publication:OB GYN News
Date:Feb 15, 2001
Words:166
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