Endometrial ablation with the Nd-YAG laser in dysfunctional bleeding

Nisolle, Michelle; Donnez, Jacques; Grandjean, Pascale; Gillerot, Stéphane

doi:10.3109/13645709109152794

Cited by 8 publications

(15 citation statements)

References 4 publications

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“…10 Hysteroscopic myomectomy has also been proposed for large submucosal myomas. Some expansion has also been seen in the field of hysteroscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic supracervical (subtotal) hysterectomy: a first series of 500 cases

et al. 1997

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From July 1990 to April 1996, 500 laparoscopic supracervical (subtotal) hysterectomies (LASH) were performed. The technique and the advantages are described here. Because of the feasibility of this technique, the quick recovery of the patient and low rate of complications, this strictly laparoscopic approach must be widely considered when a hysterectomy is indicated and if there is no risk of remaining cervical cancer.

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“…10 Hysteroscopic myomectomy has also been proposed for large submucosal myomas. Some expansion has also been seen in the field of hysteroscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…10 Failed endometrial ablation must also be considered as an indication for LASH. 10 Failed endometrial ablation must also be considered as an indication for LASH.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic supracervical (subtotal) hysterectomy: a first series of 500 cases

et al. 1997

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“…The incidence of haematometra increases if the endocervical canal is treated; if it is untreated there is a higher risk of cyclical bleeds and reduction of the incidence of amenorrhoea 48 …”

Section: Late Complicationsmentioning

confidence: 99%

Complications of hysteroscopy

Motashaw¹,

Dave²

2001

Gynaecol Endoscopy

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To review the complications of hysteroscopy. A retrospective review of the literature on hysteroscopy, to focus on some of the problems that the surgeon may face following this easy and usually safe procedure. Complications both from large series and isolated reports are included. They can be immediate, varying from an innocuous perforation of the uterus to injury to the bladder, bowel or vascular structures. Haemorrhage may be arrested by simple techniques or may require a laparotomy and hysterectomy. Problems include infection; complications of the distending medium, including CO2 and air embolism; anaesthetic complications, and thermal injuries. Delayed complications, such as haematometra, rupture of the uterus in a subsequent pregnancy and the need for a repeat procedure including hysterectomy, are other possibilities. Though hysteroscopy is a safe and easily executed procedure, it may be associated with mild or severe morbidity and even mortality.

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“…Hysteroscopic surgical techniques have proved to be successful in the control of menorrhagia 1,2 . The hysteroscope allows the destruction of the endometrium to be carried out under direct vision, and both the electrical current of the resectoscope 3,4 and the energy of the neodymium yttrium‐aluminium‐garnet (Nd‐YAG) laser 1,5–7 , have been effective tools in the destruction of endometrial tissue to a sufficient depth to avoid regeneration.…”

Section: Endometrial Ablation In Dysfunctional Bleedingmentioning

confidence: 99%

“…Other methods have been used in an attempt to create endometrial destruction and scarring, such as cryotherapy, superheated steam, intracavity radium, rigorous curettage, quinocrine methyl‐cyanoacrylate, oxalic acid, paraformaldehyde and silicone rubber. However, only the Ng‐YAG laser 1,2,5–8 and the resectoscope 3,4 have given acceptable results.…”

Section: Endometrial Ablation In Dysfunctional Bleedingmentioning

confidence: 99%