An endometrial ablation and a hysteroscopic fibroid resection were performed in a 44‐year‐old healthy woman because of metrorrhagia. The surgery was uncomplicated except for a 1000‐ml fluid deficit. Prophylactic antibiotics were not given. Less than 15h after surgery signs of sepsis and disseminated intravascular coagulation developed. Despite being given adequate antibiotic and supportive treatment the patient deteriorated and died 72h after the primary surgery. The question of prophylactic antibiotics is raised and their use is recommended. The importance of regarding a transvaginal endometrial ablation and fibroid resection as an alternative to hysterectomy and not as a suitable treatment for a low‐grade menstrual disorder is stressed. A call is made for publication of all serious and unexpected complications in connection with transvaginal hysteroscopic operations.
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Jørgensen et al. (1996) studied this question.