Abordaje histeroscópico del endometrio residual en muñón cervical

The main difference between subtotal and total hysterectomy lies in the persistence of the cervical stump and the possible associated problems. One of these problems is cyclical bleeding after a subtotal hysterectomy, which, depending on the series, occurs in 0% to 25% of cases. We describe resolution of cyclical bleeding after a subtotal hysterectomy by means of hysteroscopic treatment. To our knowledge, this is the first published case in which ablation of the remnant tissue was performed with a monopolar loop in order to treat cyclical bleeding. We believe this surgical treatment could be a valid alternative to resolve cyclical bleeding associated with persistence of endometrial tissue in the cervical stump.