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KMID : 1007320100160010046
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Journal of the Korean Society of Menopause
2010 Volume.16 No. 1 p.46 ~ p.51
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Clinical Applications of Hysteroscopic Surgery in Postmenopausal Women
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Uy Kina
Kim Tae-Hee
Lee Hae-Hyeog
Chung Soo-Ho
Lee Byoung-Ick
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Abstract
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Objectives: To evaluate the spectrum of hysteroscopic surgery to be extended.
Methods: Forty-three women who underwent hysteroscopic procedures with Urione® solution or normal saline as distension media between March 2001 and March 2009 were randomized. The clinical characteristics, laboratory data, and post-operative results were retrospectively analyzed.
Results: The following hysteroscopic procedures were performed: endometrial biopsy, 26; endometrial polypectomy, 8; myomectomy, 7; ablation for dysfunctional uterine bleeding and endometrial hyperplasia, 1; and excision of an endometrial mass, 1. The mean size of the myomas was 3.2 cm. The average duration of hospitalization was 2 days. The average change in hemoglobin was 1.1 g/dl. The mean operative time was 36 minutes.
Conclusion: The indications for hysteroscopic procedures can be extended. Pure intramural myomas, submucosal myomas, endometrial polyps, adenomyosis, endometrial hyperplasia, hydrometra, and abnormal uterine bleeding can be treated via a hysteroscope. Intra-operative transabdominal ultrasonographic guidance can be helpful during hysteroscopic procedures, and reduces the complication and morbidity rates.
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KEYWORD
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Hysteroscopy, Myomectomy, Polypectomy, Hydrometra, Menopause
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