Balloon ablation: is this an outpatient procedure?

Byrd, L; Chia, K. V.

doi:10.1080/01443610120113445

Cited by 9 publications

(18 citation statements)

References 6 publications

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“…Most commercially available SEAT devices have been used successfully with only local anesthesia or sedation [59,60]. What little comparative data of intra-operative and postoperative discomfort that are available suggest that some techniques, such as bipolar impedance controlled ablation and cryo-ablation, may be inherently less painful than other SEAT devices.…”

Section: Which Seat To Use?mentioning

confidence: 98%

Menorrhagia: the role of endometrial ablation

Sowter

2004

International Congress Series

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Section: Which Seat To Use?mentioning

confidence: 98%

Menorrhagia: the role of endometrial ablation

Sowter

2004

International Congress Series

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“…These investigators concluded that microwave ablation should be conducted in a location that is equipped to permit general anesthesia. Byrd et al [26] concluded that balloon ablation could be offered in the office under local anesthesia to appropriately selected patients.…”

Section: Endometrial Ablationmentioning

confidence: 99%

Anesthesia for outpatient gynecologic surgery

Goulson¹

2007

Current Opinion in Anaesthesiology

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Local anesthetic use in gynecologic laparoscopy appears to improve postoperative pain control modestly, especially when given into the peritoneal cavity. Supralaryngeal airways, such as ProSeal LMA, appear to provide effective ventilation in laparoscopy, although their ability to protect against aspiration is unclear. The speed and comfort of emergence, recovery, and discharge may be improved by consciousness monitoring during general anesthesia and by drugs intended to modulate hemodynamics.

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“…This may be an important advantage in an outpatient setting, even though a cervical dilation of up to 7.5 mm is necessary to perform the bipolar technique, and no cervical dilation is needed for balloon ablation. Balloon ablation has been performed under local anaesthesia [17]. Only 61% of the patients would be happy to undertake the procedure again under local anaesthesia, which is a rather low percentage.…”

Section: Discussionmentioning

confidence: 99%

Thermal endometrial ablation in dysfunctional uterine bleeding: an economic comparison of bipolar ablation and balloon ablation

et al. 2005

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Objective: A bipolar radio-frequency impedance-controlled endometrial ablation system is more effective than balloon ablation in the treatment of dysfunctional uterine bleeding. The aim of the present study was to compare the costs of both treatments, and to perform a cost-effectiveness analysis. Study design: An economic evaluation was set up alongside a randomised clinical trial comparing bipolar radio-frequency endometrial ablation and balloon ablation in 126 patients with dysfunctional uterine bleeding. Data on resources used for treatment and lost production time were prospectively collected, and costs of both treatments were calculated. Results: Mean direct medical costs per patient were €1638 for bipolar ablation and €1545 for thermal balloon ablation with a mean difference of €93 (95% CI €45-140, P-value 0.01). Mean indirect medical costs were just over €200 in each group. Incorporation of the costs of post-ablation hysterectomies resulted in mean costs of €2006 and €2053 in the balloon group (P-value 0.01). In the balloon group, the cost per satisfied patient was €2333 compared to €2112 in the bipolar group. Similarly, in the bipolar group the cost per amenorrhoeic patient was €4361 and in the balloon group €12831. Conclusions: The direct costs of bipolar ablation were higher than the costs of balloon ablation. However, after inclusion of the retreatment costs, bipolar ablation was less expensive than balloon ablation.

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Balloon ablation: is this an outpatient procedure?

Cited by 9 publications

References 6 publications

Menorrhagia: the role of endometrial ablation

Menorrhagia: the role of endometrial ablation

Anesthesia for outpatient gynecologic surgery

Thermal endometrial ablation in dysfunctional uterine bleeding: an economic comparison of bipolar ablation and balloon ablation

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