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- W2395147981 abstract "Hysteroscopic treatment of submucous fibroids and endometrial polyps is playing an increasingly important role in the management of abnormal gynaecologic bleeding and certain types of infertility. Pre-operative medical treatment to shrink fibroids is recommended. Careful quantification of the amount of myometrial extension will permit the appropriate surgical approach. Two-stage procedures are advisable when resecting fibroids which are deeply imbedded in the uterine wall. Peri-operative complications during hysteroscopic resection of benign intra-uterine tumours are low. The most commonly encountered complications include haemorrhage (4 to 5%), endometritis (<l%), uterine perforation (<1%), and fluid overload (<1%). The short-term cure rate of abnormal gynaecologic bleeding is approximately 88 percent. Although the effect of this surgery on infertility and recurrent abortion rates is not clear from the evidence available, preliminary results are promising. When the hysteroscope eventually finds its deserved place in the armamentarium of the general gynaecologist as both a diagnostic and therapeutic instrument, more extensive and morbid surgery will be avoidable. Le traitement hystéroscopique des léiomyames sous-muqueux et des polypes de l’endomètre joue un rôle de plus en plus important dans le traitement des hémorragies gynécologiques anormales et de certains types d’infertilité. On recommande un traite-ment médical préopératoire pour réduire les léiomyomes. La quantification soigneuse de l’extension dans le myomètre permettra de choisir la méthode chirurgicale appropriée. Il est conseillé de procéder en deux stades lors de la résection des léiomyomes profondément implantés dans la paroi utérine. Le taux de complications péri-opératoires de la résection hystéroscopique des tumeurs intra-utérines bénignes est faible. Les complications péri-opératoires les plus fréquentes sont l’hémorragie (4 à 5%), l’endométrite (< 1 %), la perforation de l’utérus (< 1 %) et la surcharge liquidienne (< 1 %). Le taux de guérison à court terme des hémorragies gynécologiques anormales est de 88% environ. Bien que les résultats ne permettent pas de déterminer clairement l’effet de cette intervention sur l’infertilité et les avortements spontanés à répétition, les résultats préliminaires sont prometteurs. Lorsque l’hystéroscope aura enfin trouvé sa juste place comme instrument de diagnostic et de traitement dans l’arsenal du gynécologue généraliste, on pourra éviter les traitements chirurgicaux plus extensifs et morbigènes." @default.
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- W2395147981 date "1995-07-01" @default.
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- W2395147981 title "Hysteroscopic Management of Benign Intra-uterine Tumours" @default.
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- W2395147981 doi "https://doi.org/10.1016/s0849-5831(16)30215-4" @default.
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