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- Title
Radiofrequency Endometrial Ablation with Hysteroscopic Verification: Report of Four Cases Conducted in Brazil.
- Authors
Liberman, Daniel; Peixoto Crispi Junior, Claudio; Moura de Andrade Junior, Claudio; de Nadai Filho, Nilton; de Freitas Fonseca, Marlon
- Abstract
Endometrial ablation (EA) is a minimally invasive surgical procedure to reduce abnormal uterine bleeding contemplated for women who have achieved their reproductive goals. EA consists of the destruction of the endometrial layer with preservation of the uterus, although EA has lower complication rates than hysterectomy, it may be associated with metrorrhagia recurrence. One of the major causes of treatment failure is incomplete ablation of the endometrium. Thanks to techniques that have been developed in recent years, endometrial ablation can be performed on an outpatient basis, including by radiofrequency ablation. The main objective of this case series was to report four cases in which Radiofrequency Endometrial Ablation (RFEA) was used to treat abnormal uterine bleeding at a single ambulatory surgical center in Brazil. Hysteroscopic evaluation of the uterine cavity was performed immediately prior to the RFEA to diagnose possible endometrial pathologies and again at the conclusion of the procedure to assess the aspect of the newly treated endometrium. Verification of the completeness of the ablation was assessed by a third hysteroscopy 30 or 60 days after the ablation. In this case series RFEA was efficacious and safe for outpatient use. Although radiofrequency endometrial ablation can be performed without the use of the hysteroscope, we believe it is an important tool for the timely verification of the completeness of the endometrial ablation.
- Subjects
BRAZIL; RETROSPECTIVE studies; ACQUISITION of data; SURGERY; PATIENTS; TREATMENT effectiveness; PRE-tests &; post-tests; METRORRHAGIA; MEDICAL records; CASE studies; HYSTEROSCOPY; AMBULATORY surgery; ENDOMETRIAL ablation techniques
- Publication
Journal of Health Sciences (2447-8938), 2023, Vol 25, Issue 3, p178
- ISSN
2447-8938
- Publication type
Article
- DOI
10.17921/2447-8938.2023v25n3p178-182