1887
Volume 2009, Issue 1
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

ملخص

To study the outcome of various methods of endometrial ablation as a treatment of heavy vaginal bleeding, the records and post-operative histories were reviewed of 122 women with a mean age of 47 years who attended the Women's Hospital, Doha, Qatar, between January 2002 and December 2005. Post-operative amenorrhea, oligomenorrhea, or a normal flow plus a satisfied patient were considered evidence of success; a needforfurther medical or surgical intervention was consideredfailure. Fifty-eight women (47.5%) had Thermachoice Balloon Ablation with a success rate of 83%; 37 (30%) had Microwave Endometrial Ablation (MEA) with 71% success; and27 (22%) had Transcervical Resection of Endometrium (TCRE) with 74% success. Apart from the duration of the procedures there were no statistically significant differences in age, parity, pre-operative haemoglobin and platelets, presence of fibroids, pre-operative endometrial preparation by hormones, or final satisfaction level. It is concluded that Balloon Thermal Ablation, MEA and TCRE are equally effective for the treatment of abnormal vaginal bleeding.

Loading

جارٍ تحميل قياسات المقالة...

/content/journals/10.5339/qmj.2009.1.12
٢٠٠٩-٠٥-٠١
٢٠٢٤-٠٧-٠٧
Loading full text...

Full text loading...

References

  1. Cooper KG, Parkin DE, Garrant AM. A randomized comparison of medical and hysteroscopic management in women consulting a gynaecologist for treatment of heavy menstrual loss. Br J Obstet Gynaecol. 1997; 104::13601366.
    [Google الباحث العلمي]
  2. Garry R. Endometrial Ablation And Resection: validation of a new surgical concept. Br J Obstet Gynaecol. 1997; 104::13291331.
    [Google الباحث العلمي]
  3. Consumers association Ltd. Drugs for mennorrhagia: Often disappointing. Drug Ther Bull. 1990; 28::1720.
    [Google الباحث العلمي]
  4. Nilson L, Rybo G. Treatment of menorrhagia. Am J Obstet Gynecol. 1971; 110::713720.
    [Google الباحث العلمي]
  5. Preston JT, Cameron IT, Adams EJ, Smith SK. Comparative study oftranexamic acid and norethisterone in the treatment of ovulatory menorrhagia. Br J Obstet Gynaecol. 1995; 102::401406).
    [Google الباحث العلمي]
  6. Lefebvre G, Allaire C, Jejfery J, Villos G. Hysterectomy. SOCG Clinical Practice Guidelines. No.109, January 2002. J Obstet Gynaecol Can. 2002; 24::3748.
    [Google الباحث العلمي]
  7. Coulter A, Bradlow J, Agass M, Martin-Bates C, Tulloch A. Outcome of referrals to gynaecology outpatient clinics for menstrual problems: an audit of general practice records. Br J Obstet Gynaecol. 1991; 98::789796.
    [Google الباحث العلمي]
  8. Wingo PA, Huezo CM, Robin GL, Ory HW, Peterson HB. The mortality risk associated with hysterectomy. Am J Obstet Gynecol. 1985; 803::813.
    [Google الباحث العلمي]
  9. Dicker RC, Greenspan JR, Strauss LT. complications of abdominal and vaginal hysterectomy among women of reproductive age in the united states. Am J Obstet and Gynecol. 1982; 144::842848.
    [Google الباحث العلمي]
  10. Cooper JM, Erickson ML. “Global endometrial ablation technologies “ Obstetrics and Gynecology. Clinics Of North America. june2000; 27::385396.
    [Google الباحث العلمي]
  11. Vilos GA, Lefebvre G, Graves G. Guidelines for the management of abnormal uterine bleeding. SOGC Clinical Practice Guidelines No.l06AugustObstetGgynaecolCan. 2001; 23::704709.
    [Google الباحث العلمي]
  12. Garry R, for the Endometrial Ablation Group . vidence and techniques in endometrial ablation. Consensus. Gynecol Endosc. 2002; 11::517.
    [Google الباحث العلمي]
  13. Roy KH, Mottox JH. Advances in endometrial ablation: CME review article. Obstet Gynecol Surv. 2002; 57::789802.
    [Google الباحث العلمي]
  14. Vilos GA, Obstet Gynecol Clin NAm. 2004; 31::687704.
    [Google الباحث العلمي]
  15. Stabinsky SA, Einstein M, Breen JL. Modern treatment for menorrhagia attributable to dysfunctional uterine bleeding. Obstet gynaecol surv. 1998; 54::6172.
    [Google الباحث العلمي]
  16. Ke Re. Endometrial ablation: An Alternative to hysterectomy. Clin Obstet Gynecol. 1997; 40::914927.
    [Google الباحث العلمي]
  17. Garry R. Good practice with endometrial ablation. Obstet Gynecol. 1995; 85::144151.
    [Google الباحث العلمي]
  18. Sculpher MJ, Bryan S, Dwyer N, Hutton J, Stirrat GM. An economic evaluation of transcervical endometrial resection versus abdominal hysterectomy for the treatment of menorrhagia. Br J Obstet Gynecol. 1993; 100::244252.
    [Google الباحث العلمي]
  19. Hidlebaugh DA. A health maintenance organization's initial experience with laparoscopic-assisted vaginal hysterectomy and endometrial ablation. J Am Assoc Gynecol Laparosc. 1995; 2::311318.
    [Google الباحث العلمي]
  20. Vilos GA, Vilos EC, King JH. Experience with 800 hysteroscopic endometrial ablation. J Am Assoc Gynecol Laparosc. 1996; 4::3338.
    [Google الباحث العلمي]
  21. Brooks PG, Sarden SP, Davos I. Hormonal inhibition of the endometrium for resectoscopic endometrial ablation. Am J Obstet Gynecol a-iu:im. ii:.
    [Google الباحث العلمي]
  22. Browne DS. Endometrial resection: A comparison of techniques. Aust NZ Obstet Gynecol. 1996; 36::448452.
    [Google الباحث العلمي]
  23. De Cherney AH, Polan ML. Hysteroscopic management of intrauterine lesions and intractable uterine bleeding. Obstet Gynecol. 1983; 61::392397.
    [Google الباحث العلمي]
  24. O'connor H, Magos A. resection for the treatment of menorrhagia. N Eng J Med. 1996; 335::151156.
    [Google الباحث العلمي]
  25. Michael J. Gannon, Peter O' Donovan. Update on endometrial ablation. Recent Advances In Obstetrics And Gynecology. 2005; 23::159168.
    [Google الباحث العلمي]
  26. Kevin D. Jones, Paul Mc Gurgan, Christopher J.G. Sutton. Second generation endometrial ablation techniques: Editorial review. Curr-Opin-Obstet-Gynecol. 2000 aug; 12:4:273276.
    [Google الباحث العلمي]
  27. Munro M. Endometrial ablation with a thermal balloon: the first 10 years: a review article. J Am Assoc Gynecol Laparosc. 2004; 11::822.
    [Google الباحث العلمي]
  28. Meyer WR, Walsh BW, Grainger DA, et al., Thermal balloon and rollerball to treat menorrhagia: A multicenter comparison. Obstet Gynecol. 1998; 92::98103.
    [Google الباحث العلمي]
  29. Sharma B, Preston J, Ray C. Microwave endometrial ablation for menorrhagia: outcome at two years -experience of a district general hospital. J Obstet and Gynecol. November. 2004; 24::916919.
    [Google الباحث العلمي]
  30. Jonathon M, Solnik MD, Richard S. Guido, Joseph S. Sanfilippo, Marijane A. Krohn. The impact of endometrial ablation technique at a large university women's hospital. Am J Obstet and Gynecol. December 2005; 193::98102.
    [Google الباحث العلمي]
  31. Caryn Dutton, Lynn Ackerson, Barbara Phelps-Sandall. Outcomes after rollerball endometrial ablation for menorrhagia. Am college of Obstet and gynecol. July 2001; 98::3539.
    [Google الباحث العلمي]
  32. Vercellini P, Perino A, Consonni R, Oldani S, Parazzini F, Crosignani PG. Does pre operative treatment with a gonadotropin releasing hormone agonist improve the outcome of endometrial resection? J Am Assoc Gynecol Laparosc. 1998; 5::357360.
    [Google الباحث العلمي]
  33. Mousa I. Shamonki, William F. Ziegler, DO , Gary J. Badger, Cynthia K. Sites. Prediction of endometrial ablation success according to preoperative findings. Am J Obstet Gynecol. 2000; 182::10051007.
    [Google الباحث العلمي]
  34. Scottish Hysteroscopy Audit Group. A Scottish Audit of hysteroscopic surgery for menorrhagia-complications and follow up. Br J Obstet Gynaecol. 1995; 102::249254.
    [Google الباحث العلمي]
  35. Cooper KG, Bain C, Parkin DE. A randomized trial comparing microwave endometrial ablation with transcervical resection of the endometrium. Br J Obstet Gynaecol. 1998; 105:suppl 17:25.
    [Google الباحث العلمي]
  36. Amso NN, Stabinsky SE, McFaul P, Blanc B, Pendley L. Neuwirth R.Uterine thermal balloon therapy for the treatment of menorrhagia: the first 300 patients from a multi-centre study. Br J Obstet Gynaecol. 1998; 105::517523.
    [Google الباحث العلمي]
/content/journals/10.5339/qmj.2009.1.12
Loading
  • نوع المستند: Research Article
الموضوعات الرئيسية Balloon Thermal AblationMenorrhagia and Microwave Endometrial Ablation and Transcervical Resection of Endometrium

الأكثر اقتباسًا لهذا الشهر Most Cited RSS feed

هذه الخانة مطلوبة
يُرجى إدخال عنوان بريد إلكتروني صالح
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error