AI Article Synopsis
- The study reviews the underutilized intrauterine balloon (IUB) therapy in gynecological practice, especially compared to its well-established use in obstetrics for postpartum hemorrhage.
- It identifies three main areas of focus: indications for use, practical aspects of balloon therapy (like ultrasound guidance and inflation), and potential complications (such as pain and infection) along with prevention strategies.
- Overall, IUB therapy is highlighted as a simple, cost-effective, and adaptable treatment option for various gynecological issues, with rare complications that can typically be prevented with proper technique.
Article Abstract
The use of balloon therapy in obstetric practice especially in postpartum haemorrhage (PPH) is well established and has recently been reviewed. However, little attention has been drawn regarding the use of intrauterine balloon (IUB) in gynaecological practice. This study focuses on the various usage of IUB in gynaecological practice. An electronic literature search through Medline, EMBASE and Clinicaltrial.gov from inception to August 2022 was conducted. The study focuses on the three following areas: (1) Indications: prevention and removal of intrauterine adhesions, management of ectopic pregnancy, facilitation of endoscopic surgery and other clinical usages; (2) Practical aspects of balloon therapy including ultrasound guidance, choice of balloon, inflation volume, duration of balloon therapy; and (3) Potential complications including pain, infection, uterine rupture and how they can be avoided. IUB therapy is a simple, inexpensive and effective method that can be applied in various gynaecological conditions ranging from IUA to intrauterine haemorrhage. Complications are rare, but in most cases can be avoided with correct use.
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| http://dx.doi.org/10.1080/14647273.2023.2255745 | DOI Listing |
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