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Endometrial hyperplasia resected successfully using hysteroscopy: Total resection of the endomyometrium. (Gynecology).
SAN FRANCISCO -- Total resection of the endomyometrium via hysteroscopy in women with abnormal uterine bleeding effectively treated endometrial hyperplasia in a small study of 42 women, Dr. George A. Vilos said.
In a series of 2,052 diagnostic hysteroscopies for abnormal uterine bleeding between 1990 and 2000, 42 women whose endometrial biopsies showed questionable hyperplasia underwent hysteroscopic endomyometrial resection--25 with simple hyperplasia, 7 with complex hyperplasia, and 10 with atypical hyperplasia.
Most of the women were postmenopausal, and they tended to be on the heavy side, each with a body mass index above 30. "These are the typical people who develop hyperplasia," Dr. Vilos said at the annual meeting of the American Association of Gynecologic Laparoscopists.
In follow-up of 1-9 years, one patient died of heart disease. Four patients underwent subsequent hysterectomy ...
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