Prospective Observational Study of Thermablate Endometrial Ablation System as an Outpatient Procedure

Local anaesthesia during endometrial ablation: a systematic review

“…18,21,30 In eight studies, intracervical anaesthesia was evaluated. 20,24,25,29,33,34,38 There was variation in the injection sites, the type of anaesthetics used, and the concentration and volumes used (Table S1). 20,24,25,29,33,34,38 There was variation in the injection sites, the type of anaesthetics used, and the concentration and volumes used (Table S1).…”

“…[11][12][13]19,20,26,35,37 Nine studies described the use of paracervical anaesthesia 17,18,22,23,27,28,31,32,36 and seven studies described the use of a combination of intracervical, paracervical and/or intrauterine anaesthesia. The ablation techniques that were used include thermal balloon endometrial ablation (TBEA), [11][12][13][17][18][19][20][21][22][23]25,27,[29][30][31]33,36 bipolar radiofrequency endometrial ablation (RFA), 19,20,22,28,32,34,37 hydrothermablation (HTA), 24,38 microwave endometrial ablation (MEA) 35 and hysteroscopic transcervical endometrial resection (T.C.R.E.). The ablation techniques that were used include thermal balloon endometrial ablation (TBEA), [11][12][13]…”

“…11,13,[17][18][19][20][21][22][23][24][25]27,[29][30][31][32][33][34]36,37 Seven of these articles reported a pain score measured during active ablation. These scores described the level of pain during active ablation and/or an 'overall' pain score of the procedure.…”

“…Three of these studies compared either paracervical or intracervical anaesthesia alone with a combination of either paracervical or intracervical anaesthesia and intrauterine injections. 17,18,21,23,25,26,30,[33][34][35][36]38 It was administered during 88 of these 1212 procedures (7.3%). A second analysis without the study of Skensved was performed because in this study paracervical anaesthesia was administered instead of intracervical anaesthesia.…”

“…In these studies, 77-94% of the women rated the procedure under local anaesthesia as acceptable. 19,24,30,32,33,36 Recommend the procedure to a friend: In four studies the women were asked if they would recommend this procedure (under local anaesthesia) to a friend; 81-100% said they would recommend it. The percentages of the women who said that they would prefer general anaesthesia varied between 4 and 41%.…”