OBJECTIVE: This study was undertaken to compare the relative efficacy and safety of hysteroscopic endometrial resection and laparoscopic supracervical hysterectomy in the treatment of abnormal uterine bleeding. STUDY DESIGN: One hundred eighty-one patients affected by menometrorrhagia and unresponsive to medical treatment agreed to be randomized to either laparoscopic supracervical hysterectomy or hysteroscopic endometrial ablation. They were monitored for 2 years to evaluate perioperative and postoperative outcomes, resolution of symptoms, and patient satisfaction. RESULTS: Duration of hospitalization, period of convalescence, perioperative complications, and resumption of normal activity were similar between the two groups. Operative time was significantly shorter in the hysteroscopic group, but patient satisfaction was significantly higher in the laparoscopic group. CONCLUSION: For the treatment of menorrhagia, hysterectomy has the distinct advantage of being curative but the disadvantage of being more invasive than the hysteroscopic approach. However, laparoscopic supracervical hysterectomy preserves the curative effect of hysterectomy without its increased surgical invasiveness, as suggested by the current study.

Zupi, E., Zullo, F., Marconi, D., Sbracia, M., Pellicano, M., Solima, E., et al. (2003). Hysteroscopic endometrial, resection versus laparoscopic supracervical hysterectomy for menorrhagia: A prospective randomized trial. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY.

Hysteroscopic endometrial, resection versus laparoscopic supracervical hysterectomy for menorrhagia: A prospective randomized trial

ZUPI, ERRICO;
2003-01-01

Abstract

OBJECTIVE: This study was undertaken to compare the relative efficacy and safety of hysteroscopic endometrial resection and laparoscopic supracervical hysterectomy in the treatment of abnormal uterine bleeding. STUDY DESIGN: One hundred eighty-one patients affected by menometrorrhagia and unresponsive to medical treatment agreed to be randomized to either laparoscopic supracervical hysterectomy or hysteroscopic endometrial ablation. They were monitored for 2 years to evaluate perioperative and postoperative outcomes, resolution of symptoms, and patient satisfaction. RESULTS: Duration of hospitalization, period of convalescence, perioperative complications, and resumption of normal activity were similar between the two groups. Operative time was significantly shorter in the hysteroscopic group, but patient satisfaction was significantly higher in the laparoscopic group. CONCLUSION: For the treatment of menorrhagia, hysterectomy has the distinct advantage of being curative but the disadvantage of being more invasive than the hysteroscopic approach. However, laparoscopic supracervical hysterectomy preserves the curative effect of hysterectomy without its increased surgical invasiveness, as suggested by the current study.
2003
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/40 - GINECOLOGIA E OSTETRICIA
English
Con Impact Factor ISI
endometrial ablation; hysteroscopy; laparoscopy; menorrhagia; supracervical hysterectomy
SF-36 HEALTH SURVEY; OF-LIFE OUTCOMES; ABDOMINAL HYSTERECTOMY; MANAGEMENT; ABLATION
Zupi, E., Zullo, F., Marconi, D., Sbracia, M., Pellicano, M., Solima, E., et al. (2003). Hysteroscopic endometrial, resection versus laparoscopic supracervical hysterectomy for menorrhagia: A prospective randomized trial. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY.
Zupi, E; Zullo, F; Marconi, D; Sbracia, M; Pellicano, M; Solima, E; Sorrenti, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/55670
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