The Necessity of the Endometrial Sampling in Preoperative Cases which are Benign Indicated

OBJECTIVE: Comparison of the histological findings of D&C and the histological findings of histerectomy. We questioned the necessity of the endometrial sampling in preoperative cases which are benign indicatedMETHODS: : In this study at Medeniyet University Goztepe Training and Research Hospital, the files of the patients undergone histerectomy operations due to benign indications from 01.01.09 to 31.12.11 have been studied. Our study covers 518 patients. All of these patients have had D&C in our hospital and within six months they have had histerectomy operations. The findings after D&C and histerectomy operation have been compared.RESULTS: We have studied 518 patients who have had histerectomy operations within 6 months, they had D&C because of either ongoing symptoms. Among these woman 45.7% have been seen with some sort of pathology in D&C. 63.7% have had the same or very similar results after D&C and histerectomy operations. D&C has been found inadequate in diagnosing according to histerectomy materials for the 36.3% patients.D&C may lead to cervix laceration, infection and perforation of the uterus. This increases hospitalization cost. D&C can not find out the intrauterin irregularities and some of the endometrial lesions in 36.3%.CONCLUSION: In cases in which histerectomy has been planned because of benign indications preop D&C may seen prove to be inadequate. However in symptomic cases after having the necessary information about uterin cavity by transvaginal ultrasonography and histerescopy D&C or histerescopic biopsy can be useful in acute diagnosing.