Kashtalyan M. THysteroscopic surgery in treatment of patients the combined hyperplastic processes of endo- and myometrium

The author analyses the results of treatment of 225 women with combined hyperplastic processes of endo- and myometrium with the use of hysteroscopic ablation, resection and combined partial ablation and resection of the endometrium. The combined method allowed to decrease the incidence of interoperative and early postoperative complications 2 times as much as compared to the ablation group, and almost 2.5 times as much — the resection group. Efficiency of hysteroscopy at combined hyperplasia of endo- and myometrium was from 91.2% with ablation to 94.6% with the combined method. There was no effect in 6 patients of the ablation group, in 5 — of the resection group and 4 patients of the combined group. In the majority of these patients the sizes of the uterus exceeded 12 weeks of pregnancy or ade-nomyosis was revealed. The method of preoperative preparation to hysterectomy by using hysteroscopic ablation for women with hemorrhagic anemia is developed.