The need for subsequent surgery following endometrial ablation
is likely to be higher among women who do not match the profile of participants in pivotal trials of the devices.
There were no data available in the systematic review concerning newer technologies for nonhysteroscopic endometrial ablation
The fact that new devices for endometrial ablation
are still being developed is encouraging, and it suggests that endometrial ablation
technology can be improved.
The extent of adhesions seen on hysteroscopy does not correlate well with the degree of menstrual irregularity and nearly 40 percent of patients with adhesions documented on hysteroscopy had no menstrual irregularities (9) Hematometra should be suspected in a patient with history of endometrial ablation
who presents with amenorrhea and cyclic pelvic pain, even remote from the procedure.
Prior to performing endometrial ablation
by thermal balloon (Therm a Choice (Gynecare, Somerville, NJ, USA)), circulated hot fluid (Hydro Therm Ablator (Boston Scientific, San diego, CA, USA)), cryotherapy (Her Option (American Medical Systems, Minnetonka, MN, USA)), radiofrequency electrosurgery (NovaSure (Cytyc, Marlborough, MA, USA)) or microwave energy (MEA) it is necessary to measure total uterine axial length.
Keywords: Endometrial ablation
, Foley catheter, Uterine bleeding.
The Thermablate EAS is a simple, fully automated, self-contained unit that offers a very short treatment time--as little as two and a half minutes--making endometrial ablation
easier and less painful for the patient.
The IUS has not been compared with placebo or no treatment, but it has been found to be more successful than 21day progestin therapy and somewhat less successful than balloon endometrial ablation
"We've known for the past five to six years that global endometrial ablation
devices are very effective," says Mayo Clinic gynecologic surgeon Abimbola Famuyide, M.B.B.S., one of the study's authors.
She said: "Lynn had the endometrial ablation
at James Cook University Hospital three days before re-admission yet the hospital failed to link the severe pain Lynn was suffering to the earlier procedure.
SAN DIEGO -- Both hysterectomy and endometrial ablation
were highly effective short-term treatments for dysfunctional uterine bleeding in a randomized, multi-center trial, but about one-third of women who underwent endometrial ablation
eventually needed more surgery.
An endometrial ablation
was attempted, with little success.