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The lines of operation in the treatment of gynecologic hemorrhagic disorders have developed towards a more conservative direction: the number of hysterectomies has decreased year by year, mini-invasive hysteroscopies having become more common. Endometrial polyps and submucosal leiomyomas can be treated in hysteroscopy, and destruction of the endometrium (thermoablation) is available along with drug therapies for the treatment of excessive bleedings. Hysteroscopy can be utilized also in elucidating infertility of uterine origin.
View Article and Find Full Text PDF[Thermal balloon endometrial ablation for dysfunctional uterine bleeding: technical aspects and results. A prospective cohort study of 152 cases].
Tunis Med
May 2008
Hôpital Notre Dame de bon secours, 68 rue des plantes, 75674 Paris cedex 14, Paris, France.
Background: Thermal balloon endometrial ablation is a new operative technique recently proposed in the treatment of dysfunctional uterine bleeding.
Aim: To evaluate the efficacy of thermal balloon endometrial ablation in the treatment of dysfunctional uterine bleeding, and to identify the possible predictive factors for a successful outcome.
Methods: A prospective study was conducted including 152 patients with chronic abnormal uterine bleeding refractory to medical treatment.
Endometrial thermoablation for treatment of menorrhagia: comparison of two methods in outpatient setting.
Acta Obstet Gynecol Scand
March 2003
Department of Obstetrics and Gynecology, Turku University Central Hospital, Turku, Finland.
Background: Menorrhagia is one of the commonest reasons for gynecologic consultations. Inhibitors of fibrinolysis and non-steroidal anti-inflammatory drugs (NSAIDs) are generally used as therapy for the condition with an acceptable response in some patients. Endometrial ablation is one choice in patients suffering from menorrhagia.
View Article and Find Full Text PDFBalloon thermoablation in a woman with complex endometrial hyperplasia with atypia. A case report.
J Reprod Med
October 2001
Departments of Obstetrics and Gynecology and of Pathology and Laboratory Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX 79430, USA.
Background: Endometrial ablation is an alternative to hysterectomy in patients with menorrhagia refractory to medical therapy. The histologic changes in the hyperplastic endometrium secondary to endometrial ablation are not well understood.
Case Report: A 44-year-old woman, gravida 4, para 4, had menorrhagia, was at high risk for medical treatment and underwent thermal balloon ablation.
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