Endometrial destruction techniques for heavy menstrual bleeding

Microwave and thermal balloon ablation for heavy menstrual bleeding: a systematic review

“…Our review of microwave endometrial ablation and thermal balloon endometrial ablation compared with first generation endometrial ablation techniques identified few significant differences in clinical outcomes. In common with the previous review, 16 we found second generation techniques quicker to perform and possibly safer, eliminating the risk of fluid overload and being less dependent on surgical skill. With longer follow up, it does not appear that equipment failure for second generation techniques continues to be problematic.…”

“…The previous systematic review 16 concluded that, overall, second generation techniques had similar success rates and were significantly quicker to perform (WMD 11 minutes, 95% CI −18.6 to −2.6) than first generation techniques and were significantly more likely to be performed under local anaesthetic (OR 7.6, 95% CI 1.1 to 52.7). However, equipment failure was more likely in second generation techniques (OR 4.1, 95% CI 1.1 to 15.0).…”

Microwave and thermal balloon ablation for heavy menstrual bleeding: a systematic review

“…Our review of microwave endometrial ablation and thermal balloon endometrial ablation compared with first generation endometrial ablation techniques identified few significant differences in clinical outcomes. In common with the previous review, 16 we found second generation techniques quicker to perform and possibly safer, eliminating the risk of fluid overload and being less dependent on surgical skill. With longer follow up, it does not appear that equipment failure for second generation techniques continues to be problematic.…”

“…The previous systematic review 16 concluded that, overall, second generation techniques had similar success rates and were significantly quicker to perform (WMD 11 minutes, 95% CI −18.6 to −2.6) than first generation techniques and were significantly more likely to be performed under local anaesthetic (OR 7.6, 95% CI 1.1 to 52.7). However, equipment failure was more likely in second generation techniques (OR 4.1, 95% CI 1.1 to 15.0).…”

A randomised controlled trial comparing GnRH antagonist Cetrorelix with GnRH agonist Leuprorelin for endometrial thinning prior to transcervical resection of endometrium

“…To our knowledge, an overall amenorrhoea rate of 82% and amenorrhoea + hypomenorrhoea rate of 91% seen at 6 months in this study is one of the highest reported in literature, 19 although it remains to be seen whether this will be maintained at the end of 3 years, when we intend to report our longer term outcomes including hysterectomy rates to allow proper comparisons. Our overall complication rates appear lower than that reported in literature 20 …”

Indications and options for endometrial ablation

“…Moveover, nonhysteroscopic techniques are technically easier and quicker to perform. Although long-term follow-up comparisons of the various techniques for endometrial ablation are not yet available, nonhysteroscopic techniques appear to achieve results and patient satisfaction similar to those observed with hysteroscopic methods of endometrial ablation (Table 1) (25).…”

Microwave and thermal balloon ablation for heavy menstrual bleeding: a systematic review

“…Our review of microwave endometrial ablation and thermal balloon endometrial ablation compared with first generation endometrial ablation techniques identified few significant differences in clinical outcomes. In common with the previous review, 16 we found second generation techniques quicker to perform and possibly safer, eliminating the risk of fluid overload and being less dependent on surgical skill. With longer follow up, it does not appear that equipment failure for second generation techniques continues to be problematic.…”

“…The previous systematic review 16 concluded that, overall, second generation techniques had similar success rates and were significantly quicker to perform (WMD 11 minutes, 95% CI −18.6 to −2.6) than first generation techniques and were significantly more likely to be performed under local anaesthetic (OR 7.6, 95% CI 1.1 to 52.7). However, equipment failure was more likely in second generation techniques (OR 4.1, 95% CI 1.1 to 15.0).…”

A randomised controlled trial comparing GnRH antagonist Cetrorelix with GnRH agonist Leuprorelin for endometrial thinning prior to transcervical resection of endometrium

“…To our knowledge, an overall amenorrhoea rate of 82% and amenorrhoea + hypomenorrhoea rate of 91% seen at 6 months in this study is one of the highest reported in literature, 19 although it remains to be seen whether this will be maintained at the end of 3 years, when we intend to report our longer term outcomes including hysterectomy rates to allow proper comparisons. Our overall complication rates appear lower than that reported in literature 20 …”

Indications and options for endometrial ablation

“…Moveover, nonhysteroscopic techniques are technically easier and quicker to perform. Although long-term follow-up comparisons of the various techniques for endometrial ablation are not yet available, nonhysteroscopic techniques appear to achieve results and patient satisfaction similar to those observed with hysteroscopic methods of endometrial ablation (Table 1) (25).…”

Microwave and thermal balloon ablation for heavy menstrual bleeding: a systematic review

“…Our review of microwave endometrial ablation and thermal balloon endometrial ablation compared with first generation endometrial ablation techniques identified few significant differences in clinical outcomes. In common with the previous review, 16 we found second generation techniques quicker to perform and possibly safer, eliminating the risk of fluid overload and being less dependent on surgical skill. With longer follow up, it does not appear that equipment failure for second generation techniques continues to be problematic.…”

“…The previous systematic review 16 concluded that, overall, second generation techniques had similar success rates and were significantly quicker to perform (WMD 11 minutes, 95% CI −18.6 to −2.6) than first generation techniques and were significantly more likely to be performed under local anaesthetic (OR 7.6, 95% CI 1.1 to 52.7). However, equipment failure was more likely in second generation techniques (OR 4.1, 95% CI 1.1 to 15.0).…”

A randomised controlled trial comparing GnRH antagonist Cetrorelix with GnRH agonist Leuprorelin for endometrial thinning prior to transcervical resection of endometrium

“…To our knowledge, an overall amenorrhoea rate of 82% and amenorrhoea + hypomenorrhoea rate of 91% seen at 6 months in this study is one of the highest reported in literature, 19 although it remains to be seen whether this will be maintained at the end of 3 years, when we intend to report our longer term outcomes including hysterectomy rates to allow proper comparisons. Our overall complication rates appear lower than that reported in literature 20 …”

Indications and options for endometrial ablation

“…Moveover, nonhysteroscopic techniques are technically easier and quicker to perform. Although long-term follow-up comparisons of the various techniques for endometrial ablation are not yet available, nonhysteroscopic techniques appear to achieve results and patient satisfaction similar to those observed with hysteroscopic methods of endometrial ablation (Table 1) (25).…”