Intrauterine Surgery Under Intravenous Sedation as an Outpatient Alternative to Hysterectomy

Magos, A.; Baumann, R; Cheung, Kim K; Turnbull, A. C.

doi:10.1016/s0140-6736(89)91594-8

Cited by 18 publications

(2 citation statements)

References 3 publications

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“…The yearly questionnaires indicated that 85 to 100 percent of the women (depending on the year of follow-up) had adequately controlled menorrhagia, 26 to 40 percent had amenorrhea, 71 to 80 percent reported either a lessening of menstrual pain or no pain, and 79 to 87 percent were satisfied with the results of their surgery. 2,5,9,[11][12][13][14][15] Unlike hysterectomy, however, endometrial abla-H tion is not always effective. YSTEROSCOPIC ablation of the endometrium has become an accepted alternative to hysterectomy in the treatment of menorrhagia.…”

Section: Resultsmentioning

confidence: 99%

Endometrial Resection for the Treatment of Menorrhagia

O’Connor¹,

Magos²

1996

N Engl J Med

206

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Section: Resultsmentioning

confidence: 99%

Endometrial Resection for the Treatment of Menorrhagia

O’Connor¹,

Magos²

1996

N Engl J Med

206

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“…In theatre the woman was given a general anaesthetic unless a local anaesthetic technique was used. The local anaesthetic technique is a four quadrant intracervical injection of four ampoules of citanest and octapressin (2–2 mL ampoules) and is similar to a technique previously described for hysteroscopy, cervical surgery and endometrial resection 54–56 . In this cohort, local anaesthesia was used in three cases, but is now used on a regular basis with excellent intraoperative and post‐operative results.…”

Section: Methodsmentioning

confidence: 99%

Microwave endometrial ablation: development, clinical trials and outcomes at three years

Hodgson

Feldberg²,

Sharp

et al. 1999

BJOG

100

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Objective To describe the introduction of microwave endometrial ablation to clinical practice, and to Design A clinical trial using prototype microwave endometrial ablation equipment.Setting District general hospital.Population Forty-three women with completed families and with failed medical management for menorrhagia were treated with microwave endometrial ablation between October 1994 and April 1995.Main outcome measures A statement of perceived menstrual loss and satisfaction supported by a menstrual symptom questionnaire score. Dysmenorrhoea was graded as a measure of described severity. Treatment time.Results Forty-three women had a total of 46 treatments. Mean treatment time: n = 43, was 141 seconds (50-310). Amenorrhoea: n = 16; 37.2%. Very light periods/discharge: n = 11; 25.6%. Improved periods and woman satisfied: n = 9; 20.9%. Improved periods and woman not satisfied: n = l; 2.3%. Overall satisfaction at three years is 83.7%. Moderate (55.8%) or severe (27.9%) dysmenorrhoea preoperatively had improved to 11.6% and 6.8% respectively at three years. Three re-treatments and four hysterectomies will be discussed. ConclusionsMicrowave endometrial ablation is a new treatment for dysfunctional uterine bleeding using the application of microwave energy to the endometrium. This results in a rapid but restricted depth of intrauterine heating avoiding hysteroscopic fluid, operative haemorrhage and earthing risks. The technique is simple to learn and perform. Women report a high level of satisfaction three years after microwave endometrial ablation.report the outcomes three years after endometrial ablation.

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Endometrial ablation: a review

Mencaglia¹,

Tonellotto²

2002

Office and Operative Hysteroscopy

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Intrauterine Surgery Under Intravenous Sedation as an Outpatient Alternative to Hysterectomy

Cited by 18 publications

References 3 publications

Endometrial Resection for the Treatment of Menorrhagia

Endometrial Resection for the Treatment of Menorrhagia

Microwave endometrial ablation: development, clinical trials and outcomes at three years

Endometrial ablation: a review

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