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- Title
Hematometra after Thermal Balloon Endometrial Ablation in a Patient with Cervical Incompetence.
- Authors
Hubert, Stanley R.; Marcus, Peter S.; Rothenberg, Jeffrey M.; Schilder, Jeanne M.; Hurd, William W.
- Abstract
Background: Thermal balloon endometrial ablation is a relatively safe nonsurgical treatment for menorrhagia. Hematometra follows this procedure in <3% of patients, but risk factors for this complication are unclear. Case: A woman with a history of cervical incompetence during pregnancy later developed cervical occlusion and hematometra after thermal balloon endometrial ablation. Cervical occlusion did not recur after cervical dilatation and temporary placement of a catheter as a stent. Conclusion: The normal resistance of the internal cervical os may be an important factor in avoiding thermal damage to the cervix during thermal balloon endometrial ablation. This case suggests that a history of cervical incompetence may be a clinical indicator of decreased cervical resistance.
- Subjects
GYNECOLOGIC surgery; MENORRHAGIA treatment; SURGERY
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2001, Vol 11, Issue 5, p311
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/109264201317054627