الفهرس | Only 14 pages are availabe for public view |
Abstract Chronic menstrual disorders frequently lead physicians to recommend a hysterectomy. In the United States alone, approximately 600,000 hysterectomies are performed yearly (Carison et al.,1993). Both abdominal and vaginal hysterectomies are not without morbidity and may require up to a week in the hospital and a signifcant postoperative recovery period . Hysterectomy has 6èerr mortality of up to 3.511,000 in patients with cancer,although the rate generally is recognized to be much lower in patients with benign disease (Carison et al., 1993).Short - term postoperative morbidity of approximately 43% to 59% has been reported,as well as febrile morbidity of approximately 15% to 32%, and 8% to 15% of patients have required blood transfusions (Dicker et at., 1982 and Schofield et aL, 1991). In addition, hysterectomies cost consumers and health care insurers> $ 5 bilion per year.Hence,a procedure that could reduce both morbidity and cost would be beneficial.Endometrial ablation, using a number of different surgical techniques has been suggested as another therapeutic option. With direct visualization of the endometrial cavity provided by the hysteroscope,destruction of the endometrium can be readily accomplished with the Nd: YAG laser,rollerball or bar |