Safety and efficacy of microwave endometrial ablation for patients with previous uterine surgery: a pilot study

Autor:	Aki, Maebayashi, Nobuki, Hayashi, Saki, Kamata, Toshihiro, Sugi, Takahiro, Nakajima, Masaji, Nagaishi, Kei, Kawana
Rok vydání:	2022
Předmět:	Pregnancy Uterine Perforation Humans Obstetrics and Gynecology Female Pilot Projects Microwaves Menorrhagia Endometrial Ablation Techniques
Zdroj:	Journal of Obstetrics and Gynaecology. 42:2164-2169
ISSN:	1364-6893 0144-3615
Popis:	MEA (microwave endometrial ablation) is a treatment that can control hypermenorrhea. With the increase in the number of caesarean sections and myomectomies, an increasing number of patients with MEA have undergone previous incision of the uterine myometrium. Uterine perforation is major complication. Here we compared the incidence of complications and recurrence between groups with or without previous uterine surgery. 35 patients who underwent MEA were enrolled in the study. We assessed the thickness of uterine myometrium by MRI and transvaginal ultrasonography (TV-US). 12 patients (34%) had previous uterine surgery; Among 12 patients with previous uterine surgery, 6 (50%) showed thinning of the myometrium. No patient showed any complications. There was no difference in recurrence rate between two groups (1/12 = 8% and 2/23 = 8%, respectively). MEA can be performed safely and effectively even for patients with previous uterine surgery.IMPACT STATEMENT
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c6222cf46fd4348ff92cedcc398a5339 https://doi.org/10.1080/01443615.2022.2035330 Zobrazit plný text záznamu