| Autor: |
El Saman AM; Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt., AbdelHafez FF; Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt., Zahran KM; Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt., Saad H; Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt., Khalaf M; Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt., Hussein M; Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt., Hassanin IM; Department of Obstetrics & Gynecology, Faculty of Medicine, Sohag University, Sohag, Egypt., Shugaa Al Deen SM; Department of Obstetrics & Gynecology, University Hospital of Sana'a, Yemen. |
| Abstrakt: |
Objective. To study the efficacy and safety of tactile electrosurgical ablation (TEA) in stopping a persistent attack of abnormal uterine bleeding not responding to medical and hormonal therapy. Methods. This is a case series of 19 cases with intractable abnormal uterine bleeding, who underwent TEA at the Women's Health Center of Assiut University. The outcomes measured were; patient's acceptability, operative time, complications, menstrual outcomes, and reintervention. Results. None of the 19 counseled cases refused the TEA procedure which took 6-10 minutes without intraoperative complications. The procedure was successful in the immediate cessation of bleeding in 18 out of 19 cases. During the 24-month follow-up period, 9 cases developed amenorrhea, 5 had scanty menstrual bleeding, 3 were regularly menstruating, 1 case underwent repeat TEA ablation, and one underwent a hysterectomy. Conclusions. TEA represents a safe, inexpensive, and successful method for management of uterine bleeding emergencies with additional long-term beneficial effects. However, more studies with more cases and longer follow-up periods are warranted. |
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