Polipectomía histeroscópica para el tratamiento del sangrado uterino anormal.

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Bibliographic Details
Title:	Polipectomía histeroscópica para el tratamiento del sangrado uterino anormal.
Alternate Title:	Hysteroscopic polypectomy, treatment of abnormal uterine bleeding.
Authors:	Palacios-Barahona, Arlex U.¹, Angulo C, Mónica² angulocarvallomonica@gmail.com, de los Ríos P, José F², López R, Claudia², Cifuentes P, Carolina²
Source:	Ginecología y Obstetricia de México. jul2015, Vol. 83 Issue 7, p422-428. 7p. 5 Charts.
Subjects:	HYSTEROSCOPIC surgery, POLYPECTOMY, UTERINE hemorrhage treatment, ENDOMETRIAL tumors, POLYPS, MEDICAL research, SURGERY, TUMOR treatment
Geographic Terms:	COLOMBIA
Abstract (English):	Objectives: To evaluate the effectiveness of the hysteroscopic polypectomy in terms of the decrease of the abnormal uterine bleeding. Methods: A cross-sectional and analytical study was done with patients to whom a hysteroscopic polypectomy was done for treating the abnormal uterine bleeding, between January 2009 and December 2013. The response to the treatment was evaluated via a survey given to the patients about the behavior of the abnormal uterine bleeding after the procedure and about overall satisfaction. Results: The results were obtained after a hysteroscopic polypectomy done to 128 patients and were as follows. The average time from the polypectomy applied until the survey was 30.5 months, with a standard deviation of 18 months. 67.2% of the patients reported decreased abnormal uterine bleeding and the 32.8% reported a persistence of symptoms. On average 82.8% of the patients were satisfied with the treatment. Bivariate and multivariate analysis showed no association between the variables studied and no improvement of abnormal uterine bleeding after surgery (polypectomy). There were no complications. Conclusion: Hysteroscopic polypectomy is a safe surgical treatment, which decreases on two of three patients the abnormal uterine bleeding in the presence of endometrial polyps, with an acceptable level of satisfaction. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivos: evaluar la efectividad de la polipectomía histeroscópica en terminus de disminución del sangrado uterino anormal y la satisfacción de las pacientes. Métodos: estudio transversal y analítico efectuado en pacientes a quienes se realizó polipectomía por histeroscopia como tratamiento del sangrado uterino anormal (enero 2009-diciembre 2013). La respuesta al tratamiento se evaluó con un cuestionario aplicado a las pacientes acerca del comportamiento del sangrado uterino posterior al procedimiento y su satisfacción en general. Resultados: se estudiaron 128 pacientes a quienes se realizó polipectomía histeroscópica debido a sangrado uterino anormal asociado con pólipos endometriales. El tiempo promedio trascurrido desde la polipectomía hasta el momento de aplicarse la encuesta fue de 30.5 meses, con una desviación estándar de 18 meses. El 67.2% de las pacientes refirió disminución del sangrado y 32.8% persistencia del síntoma. La satisfacción con el procedimiento fue de 82.8%. En el análisis bivariado y multivariado no se evidenció asociación entre las variables estudiadas para que no disminuyeran los síntomas del sangrado uterino anormal luego de la polipectomía por histeroscopia, no se registraron complicaciones relacionados con el procedimiento. Conclusión: la polipectomía por histeroscopia es un tratamiento quirúrgico seguro, que inhibe el sangrado uterino anormal asociado con pólipos endometriales en dos de cada tres pacientes y tiene un nivel de satisfacción aceptable. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objectives: To evaluate the effectiveness of the hysteroscopic polypectomy in terms of the decrease of the abnormal uterine bleeding. Methods: A cross-sectional and analytical study was done with patients to whom a hysteroscopic polypectomy was done for treating the abnormal uterine bleeding, between January 2009 and December 2013. The response to the treatment was evaluated via a survey given to the patients about the behavior of the abnormal uterine bleeding after the procedure and about overall satisfaction. Results: The results were obtained after a hysteroscopic polypectomy done to 128 patients and were as follows. The average time from the polypectomy applied until the survey was 30.5 months, with a standard deviation of 18 months. 67.2% of the patients reported decreased abnormal uterine bleeding and the 32.8% reported a persistence of symptoms. On average 82.8% of the patients were satisfied with the treatment. Bivariate and multivariate analysis showed no association between the variables studied and no improvement of abnormal uterine bleeding after surgery (polypectomy). There were no complications. Conclusion: Hysteroscopic polypectomy is a safe surgical treatment, which decreases on two of three patients the abnormal uterine bleeding in the presence of endometrial polyps, with an acceptable level of satisfaction. [ABSTRACT FROM AUTHOR]
ISSN:	03009041