Hysteroscopic Appearance of the Uterine Cavity before and after Microwave Endometrial Ablation

Togas Tulandi, T Tulandi, Tulandi T, Afaf Felemban, A Felemban, Felemban A
The Journal of the American Association of Gynecologic Laparoscopists · 2001 · vol. 8(1) , pp. 83–86 · doi:10.1016/s1074-3804(05)60553-1 · PMID:11172119 · W1997851542
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This study describes the visual changes observed in the uterine cavity during hysteroscopy performed before and after microwave endometrial ablation.

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Abstract

Study objectiveTo evaluate the appearance of the uterine cavity before and after microwave endometrial ablation (MEA).DesignProspective observational study (Canadian Task Force classification II-2).SettingUniversity teaching hospital.PatientsSixty-two women with menorrhagia.InterventionHysteroscopic examination the uterine cavity before and after MEA.Measurements and main resultsAblation was complete in 55 patients (group A). Seven women had a small island of intact endometrium (group B); the uterine cavity was severely distorted in six of these patients due to submucous myomas in five and adenomyosis in one. Another patient in this group had an acutely retroverted uterus, a 15-mm intramural myoma, and a normal uterine cavity. Women in group B had deeper uterine cavity than those in group A (101.4 +/- 15.5 and 84.7. +/- 12.8 mm, respectively, p = 0.008). The duration of ablation was also longer in group B (329.1 +/- 158.4 sec) than in group A (206.1 +/- 67.4 sec, p = 0.01).ConclusionMicrowave endometrial ablation tends to be incomplete in women with a large and severely distorted uterine cavity. Whether, this results in a lower success rate remains to be seen. (J Am Assoc Gynecol Laparosc 8(1):83-86, 2001)

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MeSH descriptors

Catheter Ablation Endometrium Hysteroscopy Menorrhagia Microwaves Uterus Adult Catheter Ablation Endometrium Female Humans Menorrhagia Microwaves Middle Aged Prospective Studies Uterus

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