Objective: To compare microwave endometrial ablation (MEA) using a new curved applicator with conventional surgical procedures in 53 patients with menorrhagia.Study Design: Thirty seven patients received MEA and 16 patients received conventional surgical procedures. Using a visual analog scale (VAS), MEA patients rated their menorrhagia, dysmenorrhea, and feelings of satisfaction from the procedure. The patients' intraoperative blood loss, operating time, and length of hospital stay were compared.Results: Following MEA, the VAS scores were significantly decreased in the MEA patients for menorrhagia (p<0.0001) and dysmenorrhea (p<0.0001). The average VAS score regarding feelings of satisfaction for MEA was 9.1 (full score = 10). Mean blood loss, operating time, and mean length of hospital stay were significantly decreased in the MEA group compared to the conventional surgical procedure group (p<0.0001).Conclusion: MEA successfully controlled menorrhagia and achieved a high rate of satisfaction among patients.
We evaluated the effectiveness of microwave endometrial ablation (MEA) for the emergent control of life-threatening uterine bleeding. Seventeen patients received emergency MEA. Twelve out of seventeen patients were treated with MEA as their primary procedure, and five out of seventeen patients were treated for an intraoperative uterine bleeding. In all twelve patients treated preoperatively, MEA was highly effective and successfully controlled acute uterine bleeding. Five out of seventeen patients were treated with MEA for a bleeding following resection of a submucosal myoma or polyp. MEA successfully controlled bleeding in all five patients, thereby preventing them from undergoing hysterectomy. Current findings suggest that emergency MEA is a promising way to control a life threatening uterine bleeding.
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