{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:39:10Z","timestamp":1760121550286},"reference-count":6,"publisher":"Wiley","issue":"4-5","license":[{"start":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T00:00:00Z","timestamp":1294358400000},"content-version":"vor","delay-in-days":7311,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:p>Transcervical resection of endometrium\u2010and of submucous fibroids when present\u2010seems to represent a new alternative to hysterectomy for patients with uncontrolled bleeding disorders. In the present study, we report our initial experience with the first 20 patients treated with a standard, rigid urological resectoscope. Resection of endometrium\u2014and of fibroids when present\u2014was carried out under general anesthesia. The uterine cavity was distended and irrigated with glycine 1.5%. Two perforations occurred, but damage to neighboring organs was not seen. In one patients, copious bleeding was encountered and hysterectomy became necessary the following day. Clinical signs of postoperative infection occured in 3 patients. Otherwise, no major morbidity was seen during or after the procedure. In 2 patients with persistent metrorrhagia, re\u2010resection was performed after 2\u20133 months and satisfactory bleeding control achieved. At the 3\u2010month follow\u2010up, 2 further patients complained of persistent bleeding and had an abdominal hysterectomy performed. In the remaining patients, satisfactory bleeding control was reported at the 6\u2010month follow\u2010up. Although large series are needed to assess the complications associated transcervical resection of the endometrium, the technique may be applied in departments with experience in routine hysteroscopy, and the approach seems to represent an attactive alternative to hysterectomy.<\/jats:p>","DOI":"10.3109\/00016349109007889","type":"journal-article","created":{"date-parts":[[2007,11,13]],"date-time":"2007-11-13T19:08:20Z","timestamp":1194980900000},"page":"363-366","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Transcervical resection of endometrium and fibroids Initial complications"],"prefix":"10.1111","volume":"70","author":[{"given":"Olav","family":"Istre","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hjalmar","family":"Schi\u00f6tz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Latif","family":"Sadik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jarle","family":"Vormdal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oddbj\u00f6rn","family":"Vangen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Forman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3552(89)80030-6"},{"key":"e_1_2_1_3_1","first-page":"425","article-title":"Electrocoagulation of the endometrium with the ball\u2010end resectoscope","volume":"74","author":"Vancaillie T G.","year":"1989","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(78)90481-7"},{"key":"e_1_2_1_5_1","first-page":"668","article-title":"Endometrial ablation for intractable uterine bleeding; Hysteroscopic resection","volume":"70","author":"DeCherney A H.","year":"1987","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.298.6682.1209"},{"key":"e_1_2_1_7_1","first-page":"427","article-title":"Comparison of endometrial biopsy with the endometrial pipelle and vabra biopsy","volume":"33","author":"Kaunitz A M.","year":"1988","journal-title":"J Reprod Med"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F00016349109007889","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/00016349109007889","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T12:18:20Z","timestamp":1693484300000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.3109\/00016349109007889"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,1]]},"references-count":6,"journal-issue":{"issue":"4-5","published-print":{"date-parts":[[1991,1]]}},"alternative-id":["10.3109\/00016349109007889"],"URL":"https:\/\/doi.org\/10.3109\/00016349109007889","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,1]]},"assertion":[{"value":"2011-01-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}