One patient, two uteri, two endometrial ablations: case report of thermal balloon ablation in uterine didelphys.
| Autor: | Chapa HO; Women's Specialty Center Dallas, Dallas, Texas 75208, USA. ChapaMD@gmail.com, Venegas G, Antonetti AG |
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| Jazyk: | angličtina |
| Zdroj: | Fertility and sterility [Fertil Steril] 2011 May; Vol. 95 (6), pp. 2123.e5-7. Date of Electronic Publication: 2011 Feb 05. |
| DOI: | 10.1016/j.fertnstert.2011.01.037 |
| Abstrakt: | Objective: To describe the clinical application and outcomes after endometrial ablation with ThermachoiceIII (Ethicon, Somerville, NJ) in a patient with uterine didelphys with heavy menstrual bleeding. Design: Case report. Setting: Inner-city community obstetrics and gynecology clinic. Patient(s): A 44-year-old Hispanic woman, gravida 3, para 0, with three spontaneous abortions. Intervention(s): The patient underwent diagnostic hysteroscopy, gynecologic dilation and curettage, and endometrial ablation with ThermachoiceIII. Main Outcome Measure(s): Menstrual pattern at 3 months postoperatively, as either amenorrhea (complete lack of menstrual flow), hypomenorrhea (scant or minimal flow lasting <5 days, requiring only light pads), or failure (flow similar to pretreatment state or requiring any other therapy), as well as dysmenorrhea reduction from baseline. Hemoglobin value at 3 months was compared with baseline. Result(s): At 3 months, hypomenorrhea was maintained. Bleeding days were 10 per month at baseline and 2 per month after therapy. Visual analogue scale score for dysmenorrhea was 8 at baseline and 2 (mean) at study end. Hemoglobin was 8.9 g/dL at baseline (preoperatively) and 11.1 g/dL at 3 months postoperatively. Conclusion(s): Successful conservative therapy of menorrhagia seems possible with thermal balloon ablation in a uterine didelphic patient. (Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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