Thermachoice endometrial ablation in the outpatient setting, without local anesthesia or intravenous sedation: a prospective cohort study

Fiona Marsh, Jenny Thewlis, Sean Duffy
Fertility and sterility · 2005 · vol. 83(3) , pp. 715–720 · doi:10.1016/j.fertnstert.2004.08.030 · PMID:15749503 · W2068144065
Non-randomised trial OA: closed CC0 ⤵ 6 in-corpus citations
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This prospective cohort study investigated the feasibility and outcomes of Thermachoice endometrial ablation performed in an outpatient setting without local anesthesia or intravenous sedation.

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Abstract

OBJECTIVE: To determine whether Thermachoice endometrial ablation (EA) is a safe and acceptable procedure when performed in the outpatient (OP) setting without local anesthesia or IV sedation. DESIGN: Prospective cohort (double group) study. SETTING: Hysteroscopy clinic of large UK hospital. PATIENT(S): Twenty-seven women with menorrhagia. INTERVENTION(S): The first cohort of women underwent Thermachoice EA without elective analgesia. The second cohort underwent Thermachoice after taking ibuprofen. MAIN OUTCOME MEASURE(S): To map pain scores and the requirement of "rescue analgesia." To assess speed of recovery and time away from home. RESULT(S): Thermachoice EA was successfully performed in the OP setting on 89% (n = 24) of women. Four women in the first cohort required rescue analgesia compared to none in the second. During the procedure there was little difference between the groups visual analogue style pain scores-with the overall score being 3.6 (range = 0-10). Postoperatively there was a lower mean pain score in the second cohort, with fewer women experiencing nausea and vomiting. Mean time away from home was 2.6 hours and mean time to make a full recovery was 3.3 days. Women required analgesia for 2.6 days, on average, and returned to their normal activities at this time. CONCLUSION(S): Thermachoice EA without local analgesia or IV sedation can be safely and successfully performed in the OP setting and if ibuprofen is taken preoperatively few women require "rescue analgesia."

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MeSH descriptors

Analgesics, Non-Narcotic Catheter Ablation Endometrium Ibuprofen Menorrhagia Postoperative Pain Adult Analgesics, Non-Narcotic Anesthesia, Local Catheter Ablation Endometrium Female Humans Ibuprofen Menorrhagia Outpatients Patient Satisfaction Postoperative Pain Procedural Sedation Prospective Studies

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