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Resultados de la resección histeroscópica de endometrio
D. Andia, I. Villegas, M. Marqués, N. Ruiz, M.J. Rui-Wamba, Á. Gorostiaga, F. Mozo
Servicio de Ginecología y Obstetricia. Hospital de Basurto. Bilbao. España.
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar nuestros resultados de la resecci&#243;n endometrial histerosc&#243;pica y el grado de satisfacci&#243;n a medio-largo plazo de estas pacientes&#46;</p> <span class="elsevierStyleSectionTitle">Sujetosym&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudia de forma prospectiva a 48 mujeres a las que se realiza una resecci&#243;n endometrial histerosc&#243;pica por hemorragia uterina anormal&#46; Se estudian todas las intervenciones de este tipoque se practicaron entre abril de 1996 y abril de 2000&#44; un total de 285 histeroscopias quir&#250;rgicas&#46; En todos los casos se hab&#237;a realizado una histeroscopia diagn&#243;stica y biopsia en consulta y se hab&#237;a intentado tratamiento m&#233;dico sin &#233;xito&#46; Entre 6 y 50 meses despu&#233;s de la cirug&#237;a&#44; se realiza una encuesta telef&#243;nica para evaluar el grado de satisfacci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hallamos un 8&#44;3&#37; de complicaciones&#44; que en todos los casos fueron leves&#46; En el estudio anatomopatol&#243;gico destaca un caso de adenocarcinoma endometrial sobre un p&#243;lipo y otro de hiperplasia at&#237;pica de endometrio&#44; a los que se realiz&#243; una histerectom&#237;a&#46; Nuestros resultados a largo plazo pusieron de manifiesto que hubo que realizar otras 2 histe-rectom&#237;as &#40;total&#44; 11&#44;4&#37;&#41;&#46; El grado de satisfacci&#243;n en la encuesta realizada a nuestras pacientes fue alto &#40;65&#44;7&#37;&#41;&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">To evaluate our results in hysteroscopic endometrial resection and the medium-long term level of satisfaction of the patients&#46;</p> <span class="elsevierStyleSectionTitle">Subjects and Methods</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A prospective study was made&#44; of 48 women who had hysteroscopic endome-trial resection for abnormal uterine bleeding&#46; These were all the interventions of this type carried out between April 96 and April 2000&#44; of a total of 285 surgical hysteroscopies&#46; All these cases had diagnostic hysteroscopy and biopsy as out-patients&#44; and had unsuccessful medical treatment&#46; Between 6 and 50 months following surgery&#44; a telephone survey was carried out to evaluate their grade of satisfaction&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We had an 8&#46;3&#37; complications rate&#44; which were all slight&#46; In the pathological study&#44; we highlight one case of endometrial adenocarcinoma from a polyp and another of atypical endometrial hy-perplasia&#44; both of which had hysterectomy&#46; Our long term results showed that 2 more hysterectomies had to be carried out&#44; 11&#44;4&#37; in total&#46; The grade of satisfaction of our patients in the survey was high&#44; 65&#46;7&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Our data reveal an 8&#46;3 &#37; complication rate immediately after hysteroscopic endometrial resection&#46; Of these patients 11&#46;4&#37; had surgery later&#44; hysterectomy&#46; The womens health was very much better in 71&#46;4&#37; of the cases&#46;</p>"
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