Resumen

DE GOUVEIA, Maribel  y  RODRIGUEZ GONCALVES, Cristina J. Instilación intrauterina de ácido tricloroacético como tratamiento de la hemorragia uterina anormal. Rev Obstet Ginecol Venez [online]. 2013, vol.73, n.1, pp.40-49. ISSN 0048-7732.

Objective: To demonstrate the efficiency of intrauterine instillation of trichloroacetic acid as a method of endometrial ablation for the treatment of uterine hemorrhage. Methods: This was a prospective, analytical and comparative study performed in 60 patients who came to consultation at the Servicio de Ginecologia del Hospital Universitario de Caracas between May, 2008 and August, 2009, in whom 95 % trichloroacetic acid was used as method of endometrial ablation. Two groups were selected at random, one subject to the previous administration of gonadotropin-releasing hormone analogue and another control, without this one. Results: To 3 months of treatment, the group that received leuprolide acetate presented eumenorrhea rates of 62.5 % and hypomenorrhea of 37.5 %. None of the patients of this group presented menorrhagia, not amenorrhea. The group that did not receive analogous presented eumenorrhea in 50 % of the cases, hypomenorrhea in 32.1 % and menorrhagia in 17.9 %. The rate of success and satisfaction of the patient was 100 % for the group with analogous and 82.1 % for the control group. These results turned out to be statistically significant (P <0.05). Conclusion: Intrauterine instillation of trichloroacetic acid is effective in the treatment of uterine hemorrhage, obtaining better results when leuprolide acetate is used previous the procedure

Palabras clave : Trichloroacetic acid; Abnormal uterine bleeding; Endometrial ablation; Hysteroscopy.

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