dc.contributor.author | Gannon, M J | |
dc.contributor.author | Holt, E M | |
dc.contributor.author | Fairbank, J | |
dc.contributor.author | Fitzgerald, M | |
dc.contributor.author | Milne, M A | |
dc.contributor.author | Crystal, A M | |
dc.contributor.author | Greenhalf, J O | |
dc.date.accessioned | 2018-08-24T08:24:54Z | |
dc.date.available | 2018-08-24T08:24:54Z | |
dc.date.issued | 1991-11-30 | |
dc.identifier.citation | Gannon, M J; Holt, E M; Fairbank, J; Fitzgerald, M; Milne, M A; Crystal, A M; Greenhalf, J O (1991). A randomised trial comparing endometrial resection and abdominal hysterectomy for the treatment of menorrhagia.. BMJ 303 (6814), 1362-1364 | |
dc.identifier.issn | 0959-8138,1468-5833 | |
dc.identifier.uri | http://hdl.handle.net/10379/9201 | |
dc.description.abstract | Objective - To determine the advantages and disadvantages of endometrial resection and abdominal hysterectomy for the surgical treatment of women with menorrhagia.
Design - Randomised study of two treatment groups with a minimum follow up of nine months.
Setting - Royal Berkshire Hospital, Reading.
Subjects - 51 of 78 menorrhagic women without pelvic pathology who were on the waiting list for abdominal hysterectomy.
Treatment - Endometrial resection or abdominal hysterectomy (according to randomisation). Endometrial resections were performed by an experienced hysteroscopic surgeon; hysterectomies were performed by two other gynaecological surgeons.
Main outcome measures - Length of operating time, hospitalisation, recovery; cost of surgery; short term results of endometrial resection.
Results - Operating time was shorter for endometrial resection (median 30 (range 20-47) minutes) than for hysterectomy (50 (39-74) minutes). The hospital stay for endometrial resection (median 1 (range 1-3) days) was less than for hysterectomy (7 (5-12) days). Recovery after endometrial resection (median 16 (range 5-62) days) was shorter than after hysterectomy (58 (11-125) days). The cost was Pound 407 for endometrial resection and Pound 1270 for abdominal hysterectomy. Four women (16%) who did not have an acceptable improvement in symptoms after endometrial resection had repeat resections. No woman has required hysterectomy during a mean follow up of one year.
Conclusion - For women with menorrhagia who have no pelvic pathology endometrial resection is a useful alternative to abdominal hysterectomy, with many short term benefits. Larger numbers and a longer follow up are needed to estimate the incidence of complications and the long term efficacy of endometrial resection. | |
dc.publisher | BMJ | |
dc.relation.ispartof | BMJ | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Ireland | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/ie/ | |
dc.subject | women | |
dc.title | A randomised trial comparing endometrial resection and abdominal hysterectomy for the treatment of menorrhagia. | |
dc.type | Article | |
dc.identifier.doi | 10.1136/bmj.303.6814.1362 | |
dc.local.publishedsource | http://www.bmj.com/content/bmj/303/6814/1362.full.pdf | |
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