ABSTRACT
Second-look or repeat resectoscope procedures are indicated under three circumstances:
(1) When initial endometrial ablation (by either a roller or resection technique) fails to control menorrhagia 1 ;
Additionally, in higher-risk procedures such as myomectomy, where intrauterine adhesions may occur after surgery, repeat evaluation and treatment may be indicated in patients desiring fertility. In one clinical study, 95 patients under-went an operative hysteroscopic procedure followed by a second-look hysteroscope after the next menses 4 . Of interest, only one of 43 patients who underwent polypectomy or septolysis were noted to have intrauterine adhesions, whereas 10/32 (31.3%) of patients with a single myoma and 9/20 (45.5%) with multiple myoma were noted to have intrauterine adhesions. The authors found repeat hysteroscopy to be a valuable tool in the treatment of intrauterine adhesions after hysteroscopic myomectomy.
