Assessment of the safety of intrauterine instillation of heated saline for endometrial ablation

Bustos-López, Héctor Hugo; Baggish, Michael S.; Valle, Rafael F.; Vadillo-Ortega, Felipe; Ibarra, Valentin; Nava, Guadalupe

doi:10.1016/s0015-0282(97)00456-1

Cited by 21 publications

(12 citation statements)

References 7 publications

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“…At present, much effort is spent on the development and promotion of numerous alternative and presumably less invasive techniques of endometrial ablation, the idea being to reduce both the amount of surgical skills required and complications associated with established methods. These modalities are microwave energy ablation, photodynamic therapy, cryoablation, hot saline therapy, intrauterine laser therapy (ELLIT), intrauterine bipolar mesh (Novacept), and balloon systems (50,60,(83)(84)(85)(86)(87)(99)(100)(101)(102)(103)(104)(105)(106)(107). Briefly, almost all of these techniques are non-hys- teroscopic, 'blind' procedures using disposable and expensive probes.…”

Section: Endometrial Ablationmentioning

confidence: 99%

Hysteroscopy in 2001: a comprehensive review

Wieser¹,

Tempfer²,

Kurz³

et al. 2001

Acta Obstet Gynecol Scand

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Bozzini, in 1807, was the first person to use a mechanical light conductor for inspection of the uterine cavity (1). Thus, hysteroscopy is apparently the oldest endoscopic procedure described in medical literature. In today's field of obstetrics and gynecology, hysteroscopy has become a cornerstone in evaluating and treating infertile women and those with functional or anatomical uterine anomalies. Minimally invasive surgery has experienced a boom over the last 20 years, resulting in a wide expansion of techniques and indications for diagnostic as well as operative hysteroscopy. In the field of diagnostic hysteroscopy, numerous innovations have entered the clinical routine, among them small-diameter rigid and flexible hysteroscopes. The field of hysteroscopic surgery has profited considerably from the rapid development of electrosurgical devices and laser technology. Today, diagnostic hysteroscopy allows for an easy, precise, and cost-effective evaluation of the uterine cavity and subsequent detection of intrauterine pathology. Hysteroscopic surgery offers a wide range of intrauterine surgical procedures such as myomectomy, polypectomy, metroplasty, and endometrial ablation. Abbreviations:GnRH: gonadotropin releasing hormone; ND-YAG: neodymium: yttrium-aluminum garnet; TRCE: transcervical resection of the endometrium; HELA: human endometrial lasor ablation; D&C: dilatation and curettage.

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Section: Endometrial Ablationmentioning

confidence: 99%

Hysteroscopy in 2001: a comprehensive review

Wieser¹,

Tempfer²,

Kurz³

et al. 2001

Acta Obstet Gynecol Scand

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“…Typically, such studies, together with clinical trials, are published in the scientific literature. 15 Thus, nonhysteroscopic ablation systems have safeguards designed within the operating system to detect leakage or perforation. These systems rely upon an initial pressurization of the uterine cavity with a liquid or gaseous material and the instigation of an alarm followed by a system shut down when leakage is detected.…”

Section: Discussionmentioning

confidence: 99%

Intestinal Injuries Associated with the Novasure Bipolar Device

Baggish

Bhati

2009

Journal of Gynecologic Surgery

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Background: The Novasure device employs biopolar thermal coagulation in order to ablate the endometrium. It is one of a class of blind, nonhysteroscopic techniques utilized for the treatment of abnormal (i.e., dysfunctional) uterine bleeding. Cases: Three cases are presented where the Novasure device was employed for endometrial ablation. Each case demonstrated thermal intestinal injuries associated with the use of the Novasure device. Conclusions: Despite several safeguards devised by the manufacturer, the Novasure bipolar device can and will perforate the uterus and cause thermal injury leading to intestinal perforation. ( J GYNECOL SURG 25:73)

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“…12,13 The effect of thermal ablation of the endometrium is described in previous articles on the histology of the acute and chronic phases. 9,10,14 The features in those studies were coagulation necrosis in the acute phase, ranging from 0 to 2 weeks after ablation, followed by a chronic reparative phase and endometrial regeneration. In the present study, we analyzed the cytolomorphologic changes immediately after thermal ablation and correlated them with histology.…”

Section: Discussionmentioning

confidence: 99%