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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, METHODS, METHODS, METHODS, RESULTS. Meshes: Adult, Aged, Aged, 80 and over, Cohort Studies, Endometrial Hyperplasia, Endosonography, Female, Follow-Up Studies, Humans, Hysterectomy, Hysteroscopy, Incidence, Leiomyoma, Middle Aged, Probability, Reoperation, Retrospective Studies, Risk Assessment, Severity of Illness Index, Treatment Outcome, Uterine Neoplasms.
user
Does repeat hysteroscopic surgery reduce the hysterectomy rate after endometrial and myoma resection? Context: To assess the efficacy of repeat transcervical resection of the endometrium (TCRE) in patients with dysfunctional uterine bleeding and myomas in whom primary resection failed. Retrospective analysis (Canadian Task Force classification III). University hospital endoscopic unit. Six hundred sixty-eight women. Repeat TCRE or transcervical resection of a myoma (TCRM). Of 668 patients, 118 (17%) required repeat resection for the following reasons: pain (52, 44%), menorrhagia (39, 31%), myomas (15, 13%), perforation at the primary TCRE (6, 5%), and large fluid deficit during the procedure (6, 5%). Of 118 women undergoing repeat TCRE or TCRM, 33 (28%) eventually required hysterectomy due to pain (17, 48%), persistent bleeding (7, 27%), pain and bleeding (3, 10%), regrowth of myomas (3, 14%), and other reasons (3, 14%).
assistant
Repeat resection is an option after failed primary hysteroscopic operation and may reduce the hysterectomy rate. Final Decision: yes