Hysteroscopic Endometrial Resection : A Case Report

Abstract

Dysfunctional uterine bleeding is a gynaecological problem. In cases which are refractory to hormonal therapy, hysterectomy is often performed. However, there are instances when hysterectomy is contraindicated either medically or culturally or patients have no desire to undergo major surgery. For those women, endometrial resection offers an alternative treatment with less trauma, a short recovery phase and reduced uterine bleeding or even amenorrhoea. In this report a case of dysfunctional uterine bleeding was treated by hysteroscopic endometrial resection. Glycine 1.5 % was used as the distention medium and uterine pressure was controlled by Hysteromat (Storz). A valleylab Force 2 was used with a blend of 100 watts cutting current. The patient was discharged twenty four hours following the procedure. There was no complication and the result was satisfactory. (Thai J Obstet Gynaecol 1994; 6: 101-105.)