Endometrial Resection for the Treatment of Menorrhagia

O’Connor, Hugh; Magos, Adam

doi:10.1056/nejm199607183350302

Cited by 206 publications

(90 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Resection of endometrium procedure is a safe and effective in selected patients and most women undergoing resection of endometrium will avoid hysterectomy [14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Effects of operative hysteroscopy with anti-adhesive solution in the patients who have abnormal uterine bleeding or intrauterine lesions

Kim¹,

Lee²,

Chung³

et al. 2013

OJOG

View full text Add to dashboard Cite

Objective: The purpose of this study was to evaluate the efficacy, safety, and benefits of hysteroscopic surgery in the treatment of dysfunctional uterine bleeding (DUB) or intrauterine lesions causing uterine bleeding. Methods: This study prospectively enrolled 100 patients who underwent operative hysteroscopy in tertiary referral university center because of uterine bleeding due to endometrial polyps or uterine submucosal leiomyomas diagnosed by transvaginal ultrasonogram. Indications for the operative hysteroscopies included abnormal uterine bleeding (AUB), ultrasound findings indicative of intrauterine lesions, and DUB. After operative hysteroscopic management, we inserted anti-adhesive solution, sodium hyaluronate and carboxymethyl cellulose into the uterine cavity. Results: Operative hysteroscopy was a successful procedure in 100 of 100 cases (100%) but it needed to be repeated in three cases with large uterine submucosal leiomyoma and after two endometrial polypectomy. Mean duration of the procedure was 23.2 minutes (range 5 -67) and postoperative hospital stay was 7 hours (range 3 -48). Most common indication was DUB (39%), submucosal leiomyoma was 21%, and endometrial polyp was 17%. There were five cases with postoperative uterine bleeding and none with fluid overload syndrome. During postoperative follow-up (3 -28 months) the majority of patients (90/100, 90%) were free of symptoms. Conclusion: Hysteroscopic procedure is an effective and safe method for the management of benign intracavitary pathology or the treatment of dysfunctional uterine bleeding. Although sodium hyaluronate and carboxymethyl cellulose seems to be effective in the prevention of adhesion in uterine cavity, further study will be needed to prove the effectiveness of anti-adhesive solution.

show abstract

“…Resection of endometrium procedure is a safe and effective in selected patients and most women undergoing resection of endometrium will avoid hysterectomy [14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Effects of operative hysteroscopy with anti-adhesive solution in the patients who have abnormal uterine bleeding or intrauterine lesions

Kim¹,

Lee²,

Chung³

et al. 2013

OJOG

View full text Add to dashboard Cite

show abstract

“…Hysteroscopic ablation has resulted in high success rates of 75-100% (mean 85%) [6,7,8,9,10,11]. These methods are skill dependent, require intensive training and expertise, and are not free of complications such as perforation, hemorrhage, visceral injury, and excessive fluid overload absorption.…”

Section: Discussionmentioning

confidence: 99%

Thermablate EAS: a new endometrial ablation system

Yackel¹,

Vilos

2004

Gynecol Surg

View full text Add to dashboard Cite

Objective: To report on Thermablate EAS, the newest endometrial thermal balloon ablation system now available. Design: Thermablate EAS consists of a lightweight reusable hand-held treatment control unit (TCU) with a single use disposable catheter-balloon-cartridge system. Treatment time is <2.5 min. A 6.0-mm diameter catheter allows it to be used in an office or outpatient setting utilizing minimal anesthesia/analgesia. Results: Six-month follow-up data obtained under a Special Access Program for Health Canada in a series of 54 patients showed amenorrhea 20%, spotting 20%, hypomenorrhea 37%, eumenorrhea 16%, and persisting menorrhagia 6%. Conclusion: Thermablate EAS is the smallest, most portable, and simplest endometrial ablation presently available. High rates of clinical success and patient satisfaction combined with enthusiastic acceptance by clinicians of this compact device makes it a very attractive endometrial ablation system.

show abstract

“…Transcervical endometrial resection (TCRE) has been shown to be an effective and safe method for treating DUB [43]. TCRE was tested in nonrandomized prospective studies, which reported a satisfaction rate between 85% and 87% and an amenorrhea rate varying up to 46% (Table 2) [44,45]. TCRE is comparable to other hysteroscopic endometrial ablation techniques in terms of amenorrhea and satisfaction rates [46,47].…”

Section: First-generation Endometrial Ablation Techniquesmentioning

confidence: 99%

Treatment options for dysfunctional uterine bleeding: evaluation of clinical results

et al. 2011

View full text Add to dashboard Cite

Abnormal uterine bleeding is one of the most common problems in women of reproductive age, and dysfunctional uterine bleeding (DUB) accounts for about half the cases. The aim of this review is to present all treatment options for women suffering from DUB and to evaluate their effectiveness. A detailed search strategy on electronic databases was carried out to identify trials and reviews on management of abnormal uterine bleeding. Tranexamic acid is the most effective medical treatment. A levonorgestrel-releasing intrauterine device is a low-cost, simple, and effective medical method, comparable to hysterectomy in terms of quality of life. In cases of DUB resistant to medical treatment, surgical treatment should be offered. First-generation ablation techniques are effective, but have a long learning curve. Second-generation ablation devices are highly effective and safe alternatives, thoroughly compared to first-generation techniques. Hysterectomy is the only method that guarantees treatment of dysfunctional uterine bleeding, but is a major operation associated with higher morbidity and mortality rates. Proper counseling of each woman with DUB regarding all treatment modalities can provide the best choice for each patient. More prospective randomized trials are needed to establish the effectiveness of these methods

show abstract

Endometrial Resection for the Treatment of Menorrhagia

Abstract: Endometrial resection is an effective alternative to hysterectomy in women with menorrhagia.

Cited by 206 publications

References 25 publications

Effects of operative hysteroscopy with anti-adhesive solution in the patients who have abnormal uterine bleeding or intrauterine lesions

Effects of operative hysteroscopy with anti-adhesive solution in the patients who have abnormal uterine bleeding or intrauterine lesions

Thermablate EAS: a new endometrial ablation system

Treatment options for dysfunctional uterine bleeding: evaluation of clinical results

Contact Info

Product

Resources

About