1
NovaSure Endometrial Ablation with Post-Op Bleeding
NovaSure Endometrial Ablation with Post-Op Bleeding
DATE: 2014/07/17::
2
Endometrial Ablation
Endometrial Ablation
DATE: 2012/06/24::
3
New thermal endometrial ablation
New thermal endometrial ablation
DATE: 2014/09/30::
4
Hysteroscopic endometrial ablation
Hysteroscopic endometrial ablation
DATE: 2013/09/21::
5
Novasure Procedure Performed on
Novasure Procedure Performed on 'The Doctors'
DATE: 2009/04/28::
6
Endometrial Ablation without Anesthesia by Promedical Inc.
Endometrial Ablation without Anesthesia by Promedical Inc.
DATE: 2007/10/10::
7
Endometrial Ablation with Gynecologist Dr. Maryann Prewitt
Endometrial Ablation with Gynecologist Dr. Maryann Prewitt
DATE: 2014/08/04::
8
Endometrial Ablation - Alternative to Hysterectomy
Endometrial Ablation - Alternative to Hysterectomy
DATE: 2007/09/10::
9
Microwave Endometrial Ablation Technology (MEA)
Microwave Endometrial Ablation Technology (MEA)
DATE: 2009/04/14::
10
Demonstration on Endometrial ablation with Gynecare Thermachoice using a uterine model
Demonstration on Endometrial ablation with Gynecare Thermachoice using a uterine model
DATE: 2011/08/09::
11
Endometrial Ablation Procedure For deep adenomyosis
Endometrial Ablation Procedure For deep adenomyosis
DATE: 2013/09/21::
12
Hysteroscopic endometrial ablation with loop resection and rollerball diathermy A050.wmv
Hysteroscopic endometrial ablation with loop resection and rollerball diathermy A050.wmv
DATE: 2012/05/22::
13
NovaSure: My Experience
NovaSure: My Experience
DATE: 2014/04/02::
14
Endometrial Ablation
Endometrial Ablation
DATE: 2010/01/07::
15
Endometrial Ablation: Women Say Goodbye to Monthly Visitor
Endometrial Ablation: Women Say Goodbye to Monthly Visitor
DATE: 2012/06/06::
16
post endometrial ablation syndrome
post endometrial ablation syndrome
DATE: 2010/10/17::
17
Endometrial Ablation And Hysteroscopy  My Wife Had This Done
Endometrial Ablation And Hysteroscopy My Wife Had This Done
DATE: 2015/02/11::
18
Resctoscopy. Endometrial ablation with Bipolar rollerball
Resctoscopy. Endometrial ablation with Bipolar rollerball
DATE: 2012/01/06::
19
Endometrial Ablation
Endometrial Ablation
DATE: 2013/01/31::
20
Endometrial Ablation
Endometrial Ablation
DATE: 2008/05/15::
21
Hysteroskopische Endometriumablation - Endometrial ablation
Hysteroskopische Endometriumablation - Endometrial ablation
DATE: 2011/10/29::
22
Novasure Endometrial Ablation
Novasure Endometrial Ablation
DATE: 2011/09/29::
23
Endometrial ablation with  the  "Resection Master" bipolar resectoscope.
Endometrial ablation with the "Resection Master" bipolar resectoscope.
DATE: 2013/06/21::
24
Endometrial Ablation Procedure Video
Endometrial Ablation Procedure Video
DATE: 2013/01/31::
25
Endometrial ablation with both bipolar loop and spike roller ball
Endometrial ablation with both bipolar loop and spike roller ball
DATE: 2013/07/13::
26
Endometrial Ablation- MUSC Health
Endometrial Ablation- MUSC Health
DATE: 2007/08/07::
27
Endometrial Ablation Surgery Video
Endometrial Ablation Surgery Video
DATE: 2013/01/31::
28
Endometrial ablation for adenomyosis
Endometrial ablation for adenomyosis
DATE: 2011/04/02::
29
endometrial ablation rollerball
endometrial ablation rollerball
DATE: 2010/11/06::
30
Rollerball Endometrial Ablation - Virtual Reality Simulation for Endoscopic Surgery
Rollerball Endometrial Ablation - Virtual Reality Simulation for Endoscopic Surgery
DATE: 2010/07/02::
31
What is Endometrial Ablation? -The Medical Center
What is Endometrial Ablation? -The Medical Center's 90 Seconds to Better Health
DATE: 2014/01/16::
32
Dr. Matt on Hysteroscopy Endometrial Ablation
Dr. Matt on Hysteroscopy Endometrial Ablation
DATE: 2012/08/02::
33
Gynaecological Matters - What is endometrial ablation?
Gynaecological Matters - What is endometrial ablation?
DATE: 2013/03/18::
34
Art of hysteroscopy endometrial resection ablation by osama shawki
Art of hysteroscopy endometrial resection ablation by osama shawki
DATE: 2012/12/23::
35
Endometrial Ablation Procedure
Endometrial Ablation Procedure
DATE: 2011/07/26::
36
HysterSisters Ask the Doctor - Uterine - Endometrial Ablation
HysterSisters Ask the Doctor - Uterine - Endometrial Ablation
DATE: 2014/05/31::
37
Novasure | Endometrial Ablation | Brooklyn Abortion Clinic
Novasure | Endometrial Ablation | Brooklyn Abortion Clinic
DATE: 2015/04/08::
38
Global Endometrial Ablation for Heavy Menstrual Bleeding-Mayo Clinic
Global Endometrial Ablation for Heavy Menstrual Bleeding-Mayo Clinic
DATE: 2008/12/31::
39
Novasure - Endometrial Ablation - Professional Brooklyn Gynecological Services - Brooklyn, NY
Novasure - Endometrial Ablation - Professional Brooklyn Gynecological Services - Brooklyn, NY
DATE: 2015/02/11::
40
Hysteroscopic polype and endometrial ablation with the "Princess" bipolar miniresectoscope
Hysteroscopic polype and endometrial ablation with the "Princess" bipolar miniresectoscope
DATE: 2012/08/13::
41
NovaSure Animation
NovaSure Animation
DATE: 2011/03/07::
42
Novasure Endometrial Ablation
Novasure Endometrial Ablation
DATE: 2011/03/10::
43
Heavy Menstrual Bleeding: Endometrial Ablation is an Outpatient Treatment Option for Some Women
Heavy Menstrual Bleeding: Endometrial Ablation is an Outpatient Treatment Option for Some Women
DATE: 2010/12/23::
44
weight loss after endometrial ablation
weight loss after endometrial ablation
DATE: 2015/04/23::
45
What Anesthesia Is Used for Endometrial Ablation? - Edmond Pack, MD - OB/GYN
What Anesthesia Is Used for Endometrial Ablation? - Edmond Pack, MD - OB/GYN
DATE: 2015/02/12::
46
Endometrial Ablation | PWHCare.com
Endometrial Ablation | PWHCare.com
DATE: 2011/07/13::
47
After Endometrial ablation do you continue to have periods every month?
After Endometrial ablation do you continue to have periods every month?
DATE: 2010/10/26::
48
Endometrial Ablation - Dr. Scott Chatham
Endometrial Ablation - Dr. Scott Chatham
DATE: 2009/10/06::
49
Endometrial Ablation Reviews
Endometrial Ablation Reviews
DATE: 2013/01/31::
50
Endometrial Ablation
Endometrial Ablation
DATE: 2009/09/21::
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RESULTS [51 .. 101]
From Wikipedia, the free encyclopedia
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Endometrial ablation
Intervention
Endometrial ablation 1.jpg
Hysteroscopic endometrial ablation
ICD-9-CM 68.23

Endometrial ablation is a medical procedure that is used to remove (ablate) or destroy the endometrial lining of a uterus. This technique is most often employed for people who suffer from excessive or prolonged bleeding during their menstrual cycle but cannot or do not wish to undergo a hysterectomy. The procedure is most commonly done on an outpatient basis. Placenta accreta may occur if the patient becomes pregnant after endometrial ablation, so birth control is recommended. However, heavy menstrual bleeding is most commonly due to dysfunctional uterine bleeding or adenomyosis. If patient does not want hysterectomy or endometrial ablation, another option with norethisterone can be given.

Effectiveness[edit]

Approximately 80% of those who undergo this procedure will have reduced menstrual bleeding. Of those, approximately 45% will stop having periods altogether. However, a second procedure or a hysterectomy will be required in approximately 22% of cases.[citation needed]

Risks[edit]

Although uncommon, the procedure can have serious complications including:

Procedure[edit]

A number of competing procedures are available.[1]

  • Transcervical resection of the endometrium (TCRE) uses a hysteroscope equipped with a cauterization loop that avails for resection of the endometrium.[2] It is a proven procedure,[3] being a day-care procedure with rapid recovery.[4]
  • The Hydrothermal Ablation System uses a small telescope-like device called a hysteroscope which is inserted into the uterus through the cervix, to help doctors safely confirm proper probe placement and to see the area they are treating. In this procedure, the doctor looks at the inside of the uterus with the hysteroscope and fills the uterus with saline fluid. The fluid is then slowly heated and the lining of the uterus is burned so that menstrual bleeding periods become less heavy and, in some cases, even stop. The fluid is then cooled and removed by special tubing to protect the external areas of the body from any burns. 94% of patients who have undergone this procedure reported a satisfactory decrease in menstrual flow.[5]
  • With the Novasure system[6] a mesh is introduced into the cavity and the lining is destroyed by applying electrical energy to the mesh that will thermally damage the adjacent endometrium. 87% of patients have a successful reduction in bleeding down to normal levels.
  • The Thermachoice III balloon[7] is a technique in which heated fluid fills a ballon which was inserted into the uterine lining. The fluid is safely contained in a flexible and non-allergenic material that conforms to most uterine shapes and sizes with no reduction of efficacy.

Older methods utilize hysteroscopy to insert instruments into the uterus to destroy the lining under vision using laser or electric current in a small loop. Another system introduces a radio-frequency rod that emits energy to destroy the uterine lining.

The procedure is done while the patient is either under local anesthesia, or, if necessary, general or spinal anesthesia. The recovery period can be from one day up to 2 weeks.

After the procedure, the endometrium heals by scarring, reducing or removing the possibility of future uterine bleeding. The patient may develop amenorrhea, however hormonal functioning will remain unaffected.

See also[edit]

References[edit]

  1. ^ http://www.bostonscientific.com/templatedata/imports/collateral/Gynecology/oth_articleCarver_The%20Female%20Patient_01_gy_us.pdf
  2. ^ Hysteroscopic Surgery, by King’s College Hospital. August 2013
  3. ^ Cooper, K. G.; Bain, C.; Parkin, D. E. (1999). "Comparison of microwave endometrial ablation and transcervical resection of the endometrium for treatment of heavy menstrual loss: A randomised trial". The Lancet 354 (9193): 1859–1863. doi:10.1016/S0140-6736(99)04101-X. PMID 10584722.  edit
  4. ^ Page 122 in Desai (January 2002). Gynecology Endoscopic Surgery: Current Concepts. Jaypee Brothers Publishers. ISBN 978-81-7179-937-4. 
  5. ^ "HTA Ablation". Centre for Women's Health - Wichita. Retrieved 15 September 2014. 
  6. ^ NovaSure. Instructions for use. 2004 Cytec Corporation.
  7. ^ Gynecare Thermachoice III. Instructions for use. 2008 ETHICON, Inc. a Johnson & Johnson Company.
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