1
|
Cooper N, Papadantonaki R, Yorke S, Khan K. Variation of outcome reporting in studies of interventions for heavy menstrual bleeding: a systematic review. Facts Views Vis Obgyn 2022; 14:205-218. [DOI: 10.52054/fvvo.14.3.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background: Heavy menstrual bleeding (HMB) detrimentally effects women. It is important to be able to compare treatments and synthesise data to understand which interventions are most beneficial, however, when there is variation in outcome reporting, this is difficult.
Objectives: To identify variation in reported outcomes in clinical studies of interventions for HMB.
Materials and methods: Searches were performed in medical databases and trial registries, using the terms ‘heavy menstrual bleeding’, menorrhagia*, hypermenorrhoea*, HMB, “heavy period „period“, effective*, therapy*, treatment, intervention, manage* and associated MeSH terms. Two authors independently reviewed and selected citations according to pre-defined selection criteria, including both randomised and observational studies. The following data were extracted- study characteristics, methodology and quality, and all reported outcomes. Analysis considered the frequency of reporting.
Results: There were 14 individual primary outcomes, however reporting was varied, resulting in 45 specific primary outcomes. There were 165 specific secondary outcomes. The most reported outcomes were menstrual blood loss and adverse events.
Conclusions: A core outcome set (COS) would reduce the evident variation in reporting of outcomes in studies of HMB, allowing more complete combination and comparison of study results and preventing reporting bias.
What is new? This in-depth review of past research into heavy menstrual bleeding shows that there is the need for a core outcome set for heavy menstrual bleeding.
Collapse
|
2
|
Oderkerk TJ, Beelen P, Geomini PMAJ, Herman MC, Leemans JC, Duijnhoven RG, Bosmans JE, Pannekoek JN, Clark TJ, Mol BWJ, Bongers MY. Endometrial ablation plus levonorgestrel releasing intrauterine system versus endometrial ablation alone in women with heavy menstrual bleeding: study protocol of a multicentre randomised controlled trial; MIRA2 trial. BMC Womens Health 2022; 22:257. [PMID: 35761328 PMCID: PMC9235075 DOI: 10.1186/s12905-022-01843-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 06/17/2022] [Indexed: 11/13/2022] Open
Abstract
Background It is estimated that between 12 to 25% of women who undergo an endometrial ablation for heavy menstrual bleeding (HMB) are dissatisfied after two years because of recurrent menstrual bleeding and/or cyclical pelvic pain, with around 15% of these women ultimately having a hysterectomy. The insertion of a levonorgestrel-releasing intrauterine system (LNG-IUS) immediately after endometrial ablation may inactivate residual untreated endometrium and/or inhibit the regeneration of endometrial tissue. Furthermore, the LNG-IUS may prevent agglutination of the uterine walls preventing intrauterine adhesion formation associated with endometrial ablation. In these ways, insertion of an LNG-IUS immediately after endometrial ablation might prevent subsequent hysterectomies because of persisting uterine bleeding and cyclical pelvic pain or pain that arises de novo. Hence, we evaluate if the combination of endometrial ablation and an LNG-IUS is superior to endometrial ablation alone in terms of reducing subsequent rates of hysterectomy at two years following the initial ablative procedure. Methods/design We perform a multicentre randomised controlled trial in 35 hospitals in the Netherlands. Women with heavy menstrual bleeding, who opt for treatment with endometrial ablation and without contraindication for an LNG-IUS are eligible. After informed consent, participants are randomly allocated to either endometrial ablation plus LNG-IUS or endometrial ablation alone. The primary outcome is the hysterectomy rate at 24 months following endometrial ablation. Secondary outcomes include women’s satisfaction, reinterventions, complications, side effects, menstrual bleeding patterns, quality of life, societal costs. Discussion The results of this study will help clinicians inform women with HMB who opt for treatment with endometrial ablation about whether concomitant use of the LNG-IUS is beneficial for reducing the need for hysterectomy due to ongoing bleeding and/or pain symptoms. Trial registration Dutch Trial registration: NL7817. Registered 20 June 2019, https://www.trialregister.nl/trial/7817. Supplementary Information The online version contains supplementary material available at 10.1186/s12905-022-01843-6.
Collapse
Affiliation(s)
- Tamara J Oderkerk
- Department of Obstetrics and Gynaecology, Máxima Medical Centre, Postbox 7777, 5500 MB, Veldhoven, The Netherlands. .,Research School Grow, Maastricht University, Maastricht, The Netherlands.
| | - Pleun Beelen
- Department of Obstetrics and Gynaecology, Máxima Medical Centre, Postbox 7777, 5500 MB, Veldhoven, The Netherlands
| | - Peggy M A J Geomini
- Department of Obstetrics and Gynaecology, Máxima Medical Centre, Postbox 7777, 5500 MB, Veldhoven, The Netherlands
| | - Malou C Herman
- Department of Obstetrics and Gynaecology, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, The Netherlands
| | - Jaklien C Leemans
- Department of Obstetrics and Gynaecology, Máxima Medical Centre, Postbox 7777, 5500 MB, Veldhoven, The Netherlands
| | - Ruben G Duijnhoven
- Clinical Trials Unit of the Netherlands Society of Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Amsterdam University Medical Centres, Amsterdam, The Netherlands
| | - Judith E Bosmans
- Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Justine N Pannekoek
- Clinical Trials Unit of the Netherlands Society of Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Amsterdam University Medical Centres, Amsterdam, The Netherlands
| | - Thomas J Clark
- University Department of Medicine and Obstetrics & Gynaecology, Birmingham Women's Hospital, Birmingham, UK
| | - Ben Willem J Mol
- Department of Obstetrics and Gynaecology, Monash Medical Centre Clayton, Melbourne, Australia
| | - Marlies Y Bongers
- Department of Obstetrics and Gynaecology, Máxima Medical Centre, Postbox 7777, 5500 MB, Veldhoven, The Netherlands.,Research School Grow, Maastricht University, Maastricht, The Netherlands
| |
Collapse
|
3
|
Electrosurgery and clinical applications of electrosurgical devices in gynecologic procedures. Med J Islam Repub Iran 2019; 32:90. [PMID: 30788327 PMCID: PMC6377004 DOI: 10.14196/mjiri.32.90] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Indexed: 12/12/2022] Open
Abstract
Background: Electrosurgery is widely used in reproductive related surgeries and technological advancements to improve efficacy and reduce potential complications. However, some reports have indicated lack of sufficient knowledge and training about basic principles and technical aspects of electrosurgery among obstetricians and gynecologists.
Methods: In this paper we present a summary on basic concepts and principles of electrosurgery and review the recent evidence on the use of electrosurgical devices in gynecologic procedures including endometrial ablation, gynecologic malignancies, loop electrode excision procedure (LEEP), and infertility.
Result: Considering the extensive use of these technologies in reproductive related surgeries, procedures including laparoscopy, hysteroscopy, and loop procedures further highlights the importance of more detailed training in this field. Gynecologists must learn the basics in more detail and update their knowledge on the growing body of evidence regarding the advancements of these technologies to reduce potential complications and select the most cost-effective treatment options for each patient.
Conclusion: Try to understanding the underlying biophysical principles and more in-depth familiarity with various electrosurgical devices could lead to less complications and optimize evidence-based gynecological practice.
Collapse
|
4
|
Lee CE, Epp A. Safety and Efficiency in a Canadian Outpatient Gynaecological Surgical Centre. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2018; 40:426-431. [DOI: 10.1016/j.jogc.2017.07.027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2017] [Revised: 07/19/2017] [Accepted: 07/21/2017] [Indexed: 10/18/2022]
|
5
|
Zhai Y, Zhang Z, Wang W, Zheng T, Zhang H. Meta-analysis of bipolar radiofrequency endometrial ablation versus thermal balloon endometrial ablation for the treatment of heavy menstrual bleeding. Int J Gynaecol Obstet 2017; 140:3-10. [PMID: 28984905 DOI: 10.1002/ijgo.12340] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 07/28/2017] [Accepted: 10/04/2017] [Indexed: 11/08/2022]
Abstract
BACKGROUND Heavy menstrual bleeding is a common problem that can severely affect quality of life. OBJECTIVES To compare bipolar radiofrequency endometrial ablation and thermal balloon ablation for heavy menstrual bleeding in terms of efficacy and health-related quality of life (HRQoL). SEARCH STRATEGY Online registries were systematically searched using relevant terms without language restriction from inception to November 24, 2016. SELECTION CRITERIA Randomized control trials or cohort studies of women with heavy menstrual bleeding comparing the efficacy of two treatments were eligible. DATA COLLECTION AND ANALYSIS Data were extracted. Results were expressed as risk ratios (RRs) or weighted mean differences (WMDs) with 95% confidence intervals (CIs). MAIN RESULTS Six studies involving 901 patients were included. Amenorrhea rate at 12 months was significantly higher after bipolar radiofrequency endometrial ablation than after thermal balloon ablation (RR 2.73, 95% CI 2.00-3.73). However, no difference at 12 months was noted for dysmenorrhea (RR 1.04, 95% CI 0.68-1.58) or treatment failure (RR 0.78, 95% CI 0.38-1.60). The only significant difference for HRQoL outcomes was for change in SAQ pleasure score (12 months: WMD -3.51, 95% CI -5.42 to -1.60). CONCLUSIONS Bipolar radiofrequency endometrial ablation and thermal balloon ablation reduce menstrual loss and improve quality of life. However, bipolar radiofrequency endometrial ablation is more effective in terms of amenorrhea rate and SAQ pleasure.
Collapse
Affiliation(s)
- Yan Zhai
- Department of Obstetrics and Gynecology, Capital Medical University Affiliated Beijing Chaoyang Hospital, Beijing, China
| | - Zihan Zhang
- Department of Obstetrics and Gynecology, Capital Medical University Affiliated Beijing Chaoyang Hospital, Beijing, China
| | - Wei Wang
- Department of Obstetrics and Gynecology, Capital Medical University Affiliated Beijing Chaoyang Hospital, Beijing, China
| | - Tingping Zheng
- Department of Obstetrics and Gynecology, Capital Medical University Affiliated Beijing Chaoyang Hospital, Beijing, China
| | - Huili Zhang
- Department of Obstetrics and Gynecology, Capital Medical University Affiliated Beijing Chaoyang Hospital, Beijing, China
| |
Collapse
|
6
|
Jain P, Rajaram S, Gupta B, Goel N, Srivastava H. Randomized controlled trial of thermal balloon ablation versus vaginal hysterectomy for leiomyoma-induced heavy menstrual bleeding. Int J Gynaecol Obstet 2016; 135:140-144. [PMID: 27575538 DOI: 10.1016/j.ijgo.2016.04.020] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2016] [Revised: 04/15/2016] [Accepted: 07/27/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To compare the efficacy of thermal balloon ablation (TBA) with that of vaginal hysterectomy in the treatment of leiomyoma-induced heavy menstrual bleeding (HMB). METHODS An open-label randomized controlled trial was conducted between November 1, 2012, and October 31, 2014, in a tertiary care hospital in Delhi, India. Eligible women with HMB (aged ≥40 years, uterus size ≤14 weeks of pregnancy, leiomyoma ≤5 cm, uterocervical length ≤12 cm) were randomly assigned (1:1) to undergo TBA or vaginal hysterectomy using computer-generated random number tables. The primary outcome was the number of women in the TBA group with HMB 6 months after surgery. Analyses were by intention to treat. RESULTS Each group contained 20 women. No women in the TBA group had HMB at 6 months. Nineteen women were amenorrheic by 6 months and one was hypomenorrheic. CONCLUSION TBA can replace vaginal hysterectomy in some perimenopausal women with uterine leiomyomas. Clinical Trials Registry India: CTRI/2016/07/007119.
Collapse
Affiliation(s)
- Prachi Jain
- Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
| | - Shalini Rajaram
- Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Bindiya Gupta
- Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Neerja Goel
- Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Himsweta Srivastava
- Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| |
Collapse
|
7
|
Hysteroscopic local anesthetic intrauterine cornual block in office endometrial ablation: a randomized controlled trial. Fertil Steril 2016; 105:474-80.e1. [DOI: 10.1016/j.fertnstert.2015.10.019] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Revised: 10/13/2015] [Accepted: 10/17/2015] [Indexed: 11/30/2022]
|
8
|
Kumar V, Chodankar R, Gupta JK. Endometrial ablation for heavy menstrual bleeding. ACTA ACUST UNITED AC 2016; 12:45-52. [PMID: 26756668 DOI: 10.2217/whe.15.86] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Endometrial ablation can be described as one of the great gynecological success stories. It has changed the management of heavy menstrual bleeding dramatically. The development of newer (second generation) endometrial ablative techniques has enabled clinicians to set up comprehensive 'one stop clinics' based on an outpatient service to treat heavy menstrual bleeding effectively without the need for general anesthetic or conscious sedation. This article describes the rationale and evidence for use of different endometrial auto-ablative systems along with relevant technical and clinical aspects. It also addresses the essentials of a successful approach to outpatient endometrial ablation along with discussion on risks, complications and contraindications of the procedure.
Collapse
Affiliation(s)
- Vinod Kumar
- University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Rohan Chodankar
- Heatherwood & Wexham Park Hospitals NHS Foundation Trust, Slough, UK
| | | |
Collapse
|
9
|
Abstract
Heavy menstrual bleeding is one of the most commonly encountered gynecological problems. While accurate objective quantification of menstrual blood loss is of value in the research setting, it is the subjective assessment of blood loss that is of greater importance when assessing the severity of heavy menstrual bleeding and any subsequent response to treatment. In this review the various approaches to objective, subjective and semi-subjective assessment of menstrual blood loss will be discussed.
Collapse
Affiliation(s)
- Stephen D Quinn
- Department of Obstetrics & Gynaecology, Imperial College NHS Healthcare Trust, The Bays, South Wharf Rd, South Wharf Road St, St Mary's Hospital, London, W2 1NY, UK
| | - Jenny Higham
- Department of Obstetrics & Gynaecology, Imperial College NHS Healthcare Trust, The Bays, South Wharf Rd, South Wharf Road St, St Mary's Hospital, London, W2 1NY, UK
| |
Collapse
|
10
|
Martín-Merino E, García Rodríguez LA, Wallander MA, Andersson S, Soriano-Gabarró M. The incidence of hysterectomy, uterus-preserving procedures and recurrent treatment in the management of uterine fibroids. Eur J Obstet Gynecol Reprod Biol 2015; 194:147-52. [DOI: 10.1016/j.ejogrb.2015.08.034] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Revised: 07/13/2015] [Accepted: 08/19/2015] [Indexed: 11/29/2022]
|
11
|
Cooper NAM, Robinson LLL, Clark TJ. Ambulatory hysteroscopy and its role in the management of abnormal uterine bleeding. JOURNAL OF FAMILY PLANNING AND REPRODUCTIVE HEALTH CARE 2015; 41:284-91. [DOI: 10.1136/jfprhc-2014-100872] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
12
|
Guo J, Gao J, Yu X, Luo H, Xiong X, Huang O. Expression of DJ-1 and mTOR in eutopic and ectopic endometria of patients with endometriosis and adenomyosis. Gynecol Obstet Invest 2015; 79:195-200. [PMID: 25721338 DOI: 10.1159/000365569] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Accepted: 06/30/2014] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Endometrial cells may aberrantly express molecules involved in invasion and migration, leading to endometriosis. The aim of this study was to investigate the expression of DJ-1 and phosphorylated mammalian target of rapamycin (p-mTOR) in ectopic and eutopic endometria of endometriosis and adenomyosis. METHODS Endometrial specimens were obtained from healthy non-menopausal women (n = 17) or patients with ovarian endometriotic cysts (n = 48) or adenomyosis (n = 30) during January 2011 to June 2012. The expressions of DJ-1 and p-mTOR were evaluated by immunohistochemistry and western blotting methods. RESULTS The expressions of DJ-1 and p-mTOR were significantly higher in the ectopic endometria than those in the eutopic endometria of endometriosis and adenomyosis patients or normal endometria (FDR < 0.05). DJ-1 expression was positively correlated with the p-mTOR expression no matter at endometriosis (r = 0.736, FDR < 0.001) or adenomyosis (r = 0.809, FDR < 0.001). CONCLUSION DJ-1 protein may be involved in endometrial cells proliferation, migration and angiogenesis by modulating the PI3K/Akt/p-mTOR signaling pathway, which provides an underlying theoretical target for endometriosis and adenomyosis.
Collapse
Affiliation(s)
- Jiubai Guo
- Medical Department of Graduate School of Nanchang University, Nanchang, Jiangxi, China
| | | | | | | | | | | |
Collapse
|
13
|
Patient satisfaction and amenorrhea rate after endometrial ablation by ThermaChoice III or NovaSure: a retrospective cohort study. ACTA ACUST UNITED AC 2015. [DOI: 10.1007/s10397-015-0880-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
14
|
|
15
|
The long-term outcomes of endometrial ablation in the treatment of heavy menstrual bleeding. Curr Opin Obstet Gynecol 2014; 25:320-6. [PMID: 23770812 DOI: 10.1097/gco.0b013e3283630e9c] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE OF REVIEW Long-term data from the studies of various endometrial ablation techniques are beginning to emerge. This review appraises the current literature on endometrial ablation for heavy menstrual bleeding, with particular emphasis on second-generation techniques, and their effectiveness, rates of repeat and further interventions and adverse events occurring 1 year or more after the procedure. RECENT FINDINGS Second-generation, nonhysteroscopic techniques are marginally superior to hysteroscopic approaches, in terms of amenorrhoea, refractory menorrhagia and satisfaction rates. Hysterectomy rates are around 20% at 2 years, with a further 3-5% having repeat ablations. Bipolar radiofrequency and microwave ablation give rise to higher amenorrhoea rates than thermal balloon ablation, and are less likely to require repeat or further intervention. SUMMARY Endometrial ablation is a well tolerated and effective procedure for the treatment of heavy menstrual bleeding. Second-generation techniques provide greater benefit than hysteroscopic techniques, with shorter procedural times and the possibility of outpatient treatment. Chronic pelvic pain frequently resolves after ablation, but can also develop de novo. Pregnancy outcomes are poor and continuing contraception is recommended.
Collapse
|
16
|
Hysteroscopic local anaesthetic intrauterine cornual ‘focal local’ block before endometrial ablation with direct cervical block in an outpatient setting: a feasibility study. Eur J Obstet Gynecol Reprod Biol 2013; 170:222-4. [DOI: 10.1016/j.ejogrb.2013.06.010] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2013] [Revised: 05/01/2013] [Accepted: 06/03/2013] [Indexed: 11/24/2022]
|
17
|
Affiliation(s)
- Natalie AM Cooper
- Birmingham Women’s Hospital; Mindelsohn Way; Edgbaston; Birmingham; B15 2TG; UK
| | - T Justin Clark
- Birmingham Women’s Hospital; Mindelsohn Way; Edgbaston; Birmingham; B15 2TG; UK
| |
Collapse
|
18
|
Yuan X, Richmond MN, Leng Y, Li TC. Does postoperative pain predict the outcome of endometrial ablation? J Obstet Gynaecol Res 2013; 39:1319-23. [PMID: 23799919 DOI: 10.1111/jog.12064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Accepted: 12/03/2012] [Indexed: 12/01/2022]
Abstract
AIM In this article, we hypothesized that significant pain in the immediate postoperative period is due to a deeper degree of thermal ablation, down to the myometrial layer, and consequently an increased likelihood of successful outcome. MATERIAL AND METHODS We retrospectively reviewed the medical records of 87 subjects who underwent thermal balloon endometrial ablation as the sole procedure under general anesthesia, administered by the same anesthetist using a standard protocol over a 10-year period from 2000 to 2010 at Thornbury Hospital, Sheffield, UK. All the cases were performed by the same surgeon in one hospital. RESULTS Twenty-eight (32.2%) subjects experienced severe or intractable pain within 1 h after the thermal balloon endometrial ablation procedure, while 26 (29.9%) subjects required morphine injection in the postoperative period. Overall, more than 70% of women experienced significant reduction in their menstrual flow. There was no difference in the clinical outcome between those who did or did not experience severe pain or between those who did or did not require morphine injection in the postoperative period. CONCLUSION The amount of postoperative pain did not predict the outcome of thermal balloon endometrial ablation.
Collapse
Affiliation(s)
- Xi Yuan
- Jessop Wing, Sheffield Teaching Hospitals, National Health Service Trust, Sheffield, UK
| | | | | | | |
Collapse
|
19
|
Chapa HO, Venegas G, Antonetti AG, Van Duyne CP, Sandate J, Bakker K. Three-Year Prospective Menstrual and Dysmenorrhea Outcomes after ThermachoiceIII® in-Office Therapy. J Gynecol Surg 2012. [DOI: 10.1089/gyn.2010.0102] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Hector O. Chapa
- Women's Specialty Center and Department of Obstetrics/Gynecology Methodists Medical Center, Dallas, TX
| | - Gonzalo Venegas
- Women's Specialty Center and Department of Obstetrics/Gynecology Methodists Medical Center, Dallas, TX
| | - Alfred G. Antonetti
- Women's Specialty Center and Department of Obstetrics/Gynecology Methodists Medical Center, Dallas, TX
| | - Charles P. Van Duyne
- Women's Specialty Center and Department of Obstetrics/Gynecology Methodists Medical Center, Dallas, TX
| | - Jeffrey Sandate
- Women's Specialty Center and Department of Obstetrics/Gynecology Methodists Medical Center, Dallas, TX
| | - Ken Bakker
- Women's Specialty Center and Department of Obstetrics/Gynecology Methodists Medical Center, Dallas, TX
| |
Collapse
|
20
|
Cash C, Garza-Leal J, Donovan A, Guidry C, Romanowski C, Patel B. Clinical Evaluation of Long-term Safety and Effectiveness of a Third-Generation Thermal Uterine Balloon Therapy System for Heavy Menstrual Bleeding. J Minim Invasive Gynecol 2012; 19:469-76. [DOI: 10.1016/j.jmig.2012.03.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2011] [Revised: 03/13/2012] [Accepted: 03/21/2012] [Indexed: 11/29/2022]
|
21
|
Ahonkallio S, Santala M, Valtonen H, Martikainen H. Cost-minimisation analysis of endometrial thermal ablation in a day case or outpatient setting under different anaesthesia regimens. Eur J Obstet Gynecol Reprod Biol 2012; 162:102-4. [DOI: 10.1016/j.ejogrb.2012.01.025] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2011] [Revised: 11/25/2011] [Accepted: 01/29/2012] [Indexed: 11/16/2022]
|
22
|
Avci ME, Sadik S, Uçar MG. A Prospective Study of Rollerball Endometrial Ablation in the Management of Refractory Recurrent Symptomatic Endometrial Hyperplasia without Atypia. Gynecol Obstet Invest 2012; 74:282-7. [DOI: 10.1159/000341708] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2011] [Accepted: 07/06/2012] [Indexed: 11/19/2022]
|