J Korean Soc Menopause.  2010 Apr;16(1):46-51.

Clinical Applications of Hysteroscopic Surgery in Postmenopausal Women

• Uy K
• Kim TH
• Lee HH
• Chung SH
• Lee BI

Abstract

OBJECTIVES
To evaluate the spectrum of hysteroscopic surgery to be extended.
METHODS
Forty-three women who underwent hysteroscopic procedures with Urione(R) 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.

Keyword

Hysteroscopy; Myomectomy; Polypectomy; Hydrometra; Menopause

MeSH Terms

Adenomyosis
Biopsy
Endometrial Hyperplasia
Female
Hemoglobins
Hospitalization
Humans
Hysteroscopes
Hysteroscopy
Menopause
Metrorrhagia
Myoma
Operative Time
Polyps
Retrospective Studies
Uterine Hemorrhage
Hemoglobins