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1
Novasure Procedure Performed on
Novasure Procedure Performed on 'The Doctors'
::2009/04/28::
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2
Demonstration on Endometrial ablation with Gynecare Thermachoice using a uterine model
Demonstration on Endometrial ablation with Gynecare Thermachoice using a uterine model
::2011/08/09::
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3
Endometrial Ablation without Anesthesia by Promedical Inc.
Endometrial Ablation without Anesthesia by Promedical Inc.
::2007/10/10::
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4
Endometrial Ablation
Endometrial Ablation
::2012/06/24::
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5
Permanent Birth Control & Endometrial Ablation
Permanent Birth Control & Endometrial Ablation
::2013/05/05::
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6
Hysteroscopic endometrial ablation with loop resection and rollerball diathermy A050.wmv
Hysteroscopic endometrial ablation with loop resection and rollerball diathermy A050.wmv
::2012/05/21::
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7
Endometrial Ablation - Alternative to Hysterectomy
Endometrial Ablation - Alternative to Hysterectomy
::2007/09/10::
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8
post endometrial ablation syndrome
post endometrial ablation syndrome
::2010/10/17::
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9
Endometrial Ablation: Women Say Goodbye to Monthly Visitor
Endometrial Ablation: Women Say Goodbye to Monthly Visitor
::2012/06/06::
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10
Gynecare Thermachoice®  Uterine Balloon Therapy System
Gynecare Thermachoice® Uterine Balloon Therapy System
::2010/04/28::
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11
Endometrial Ablation- MUSC Health
Endometrial Ablation- MUSC Health
::2007/08/07::
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12
Microwave Endometrial Ablation Technology (MEA)
Microwave Endometrial Ablation Technology (MEA)
::2009/04/14::
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13
NovaSure Endometrial Ablation with Post-Op Bleeding
NovaSure Endometrial Ablation with Post-Op Bleeding
::2014/07/17::
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14
Endometrial Ablation Procedure For deep adenomyosis
Endometrial Ablation Procedure For deep adenomyosis
::2013/09/21::
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15
Hysteroscopic endometrial ablation
Hysteroscopic endometrial ablation
::2013/09/21::
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16
NovaSure Animation
NovaSure Animation
::2011/03/07::
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17
Obesity, menorrhagia and severe Anemia
Obesity, menorrhagia and severe Anemia
::2006/11/17::
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18
Endometrial Ablation
Endometrial Ablation
::2009/09/21::
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19
Endometrial Ablation Reviews
Endometrial Ablation Reviews
::2013/01/31::
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20
FTM Post-Op Laparoscopy & Endometrial Ablation?
FTM Post-Op Laparoscopy & Endometrial Ablation?
::2012/05/12::
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21
Novasure Endometrial Ablation
Novasure Endometrial Ablation
::2011/09/29::
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22
Hysteroscopic polype and endometrial ablation with the "Princess" bipolar miniresectoscope
Hysteroscopic polype and endometrial ablation with the "Princess" bipolar miniresectoscope
::2012/08/13::
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23
Endometrial Ablation
Endometrial Ablation
::2013/01/31::
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24
Gynaecological Matters - What is endometrial ablation?
Gynaecological Matters - What is endometrial ablation?
::2013/03/18::
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25
Endometrial Ablation to treat Heavy Menstrual Bleeding
Endometrial Ablation to treat Heavy Menstrual Bleeding
::2013/07/19::
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26
How Successful is Endometrial Ablation
How Successful is Endometrial Ablation
::2013/01/31::
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27
What is Endometrial Ablation? -The Medical Center
What is Endometrial Ablation? -The Medical Center's 90 Seconds to Better Health
::2014/01/16::
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28
endometrial ablation rollerball
endometrial ablation rollerball
::2010/11/06::
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29
Endometrial Ablation
Endometrial Ablation
::2010/01/07::
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30
Endometrial Ablation Surgery Video
Endometrial Ablation Surgery Video
::2013/01/31::
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31
Novasure Endometrial Ablation
Novasure Endometrial Ablation
::2011/03/10::
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32
After Endometrial ablation do you continue to have periods every month?
After Endometrial ablation do you continue to have periods every month?
::2010/10/26::
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33
Rollerball Endometrial Ablation - Virtual Reality Simulation for Endoscopic Surgery
Rollerball Endometrial Ablation - Virtual Reality Simulation for Endoscopic Surgery
::2010/07/02::
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34
HysterSisters Ask the Doctor - Uterine - Endometrial Ablation
HysterSisters Ask the Doctor - Uterine - Endometrial Ablation
::2014/05/31::
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35
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
::2010/12/23::
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36
Endometrial ablation with both bipolar loop and spike roller ball
Endometrial ablation with both bipolar loop and spike roller ball
::2013/07/13::
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37
Dr. Matt on Hysteroscopy Endometrial Ablation
Dr. Matt on Hysteroscopy Endometrial Ablation
::2012/08/02::
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38
Global Endometrial Ablation for Heavy Menstrual Bleeding-Mayo Clinic
Global Endometrial Ablation for Heavy Menstrual Bleeding-Mayo Clinic
::2008/12/31::
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39
Art of Endometrial ablation by osama shawki
Art of Endometrial ablation by osama shawki
::2014/08/03::
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40
modified thermal balloon endometrial ablation
modified thermal balloon endometrial ablation
::2009/01/08::
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41
Endometrial ablation with  the  "Resection Master" bipolar resectoscope.
Endometrial ablation with the "Resection Master" bipolar resectoscope.
::2013/06/21::
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42
What is Endometrial Ablation? - MedStar Physician Partners
What is Endometrial Ablation? - MedStar Physician Partners
::2010/02/24::
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43
endometrial ablation Endometrial Cancer Etiology and Treatment 2014
endometrial ablation Endometrial Cancer Etiology and Treatment 2014
::2014/06/17::
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44
Endometrial Ablation Recovery Video
Endometrial Ablation Recovery Video
::2013/01/31::
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45
Endometrial Ablation Procedure
Endometrial Ablation Procedure
::2011/07/26::
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46
Endometrial Ablation Procedure Video
Endometrial Ablation Procedure Video
::2013/01/31::
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47
Endometrial ablation for adenomyosis
Endometrial ablation for adenomyosis
::2011/04/02::
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48
Endometrial Ablation for Heavy Periods - Palm Beach Obstetrics & Gynecology
Endometrial Ablation for Heavy Periods - Palm Beach Obstetrics & Gynecology
::2014/06/17::
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49
Art of hysteroscopy endometrial resection ablation by osama shawki
Art of hysteroscopy endometrial resection ablation by osama shawki
::2012/12/23::
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50
Doctor is In - Women: Need Relief from Heavy Bleeding? Endometrial Ablation to the Rescue! (1/2)
Doctor is In - Women: Need Relief from Heavy Bleeding? Endometrial Ablation to the Rescue! (1/2)
::2013/02/13::
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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.

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 HTA System[5] 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. This device circulates heated saline which burns the lining of the uterus. This procedure will stop, or significantly decrease, menstrual bleeding. 94% of patients who have undergone this procedure reported a satisfactory decrease in menstrual flow.
  • 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 electrical 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.

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:

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. ^ Hydro ThermAblator System (HTA). Instructions for use. 2005 Boston Scientific Corporation.
  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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