Factors affecting the outcome of endometrial ablation using Cavaterm™ plus

Julian, Sophia; Habiba, Marwan

doi:10.1016/j.ejogrb.2005.03.005

Cited by 6 publications

(13 citation statements)

References 13 publications

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“…In the present study, the likelihood of a lack of treatment response and the risk of hysterectomy was higher in older patients, both of which can be related to the hormonal causes of AUB and is consistent with the literature (17,19,38). Nakamura et al (39) showed that age was associated with recurrence of menorrhagia and re-surgery.…”

Section: Discussionsupporting

confidence: 92%

“…Dysmenorrhea, defined as a complaint of pain experienced during or immediately before menstruation, improved in the majority of our patients after EA surgery, which is consistent with previous studies (11,17,27). Prostaglandins (PG) and arachidonic acid metabolites play an important role in the pathogenesis of dysmenorrhea, being elevated in women with dysmenorrhea (28).…”

Section: Discussionsupporting

confidence: 90%

“…In the present study, following EA surgery 24 (11.5%) patients had subsequent hysterectomy. This is similar to the rates of hysterectomy subsequent to EA therapy, from 10% to 13%, which have been reported previously (16,17,30,(32)(33)(34) although higher rates (18%-25%) have been reported by some studies (30,34). This variability in reported hysterectomy rates may be due to differences in study population and method or technique applied for EA therapy.…”

Section: Discussionsupporting

confidence: 88%

“…In the Famuyide (12) study the menstrual bleeding rate in the patients with AUB treated with an EA method was reduced, which was associated with lower risk of hysterectomy in the future. In the present study, the rate of amenorrhea was 41.2% at the end of follow-up, which falls into the previously reported rate for amenorrhea, between 19.4 and 58%, in studies of patients with AUB treated with an EA method (11,(13)(14)(15)(16)(17)(18).…”

Section: Discussionsupporting

confidence: 53%

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Long-term outcome of endometrial ablation therapy with Cavaterm Thermal Balloon in patients with abnormal uterine bleeding

Karimi-Zarchi

Fathi

Tabatabaie

et al. 2020

J Turkish German Gynecol Assoc

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The purpose of this study was to evaluate the long-term outcome of endometrial ablation (EA) therapy with Cavaterm Thermal Balloon in patients with abnormal uterine bleeding (AUB). Material and Methods: The retrospective cross-sectional study was performed on 209 patients who referred to Shahid Sadoughi Hospital in Yazd, Iran between March 2010 and September 2017 with AUB undergoing EA therapy. The data was collected by a questionnaire from the medical records of patients and phone call. The primary and secondary outcomes post EA therapy (from six months to seven years postoperatively) were assessed in patients. Results: The mean age of participants was 45.9±5.9 years and the mean follow-up duration was 21.2±13.2 months. The rate of treatment response was 95% in the first six months and 92.1% thereafter. The prevalence of amenorrhea was 41.2%. The patient satisfaction rate at the end of follow-up duration was 81.3%. Dysmenorrhea completely resolved in 32.6%. Moreover, 1.4% of patients became pregnant during follow-up. By the end of follow-up, four (1.9%) patients had a hysterectomy due directly to treatment failure. Conclusion: This study showed that EA surgery with Cavaterm Thermal Balloon was an effective treatment for AUB. The procedure was safe and was associated with a very low rate of postoperative adverse events. The patient satisfaction rate was favorable.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 53%

See 2 more Smart Citations

Long-term outcome of endometrial ablation therapy with Cavaterm Thermal Balloon in patients with abnormal uterine bleeding

Karimi-Zarchi

Fathi

Tabatabaie

et al. 2020

J Turkish German Gynecol Assoc

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“…Patients with a history of previous C-section may be inappropriate candidates for these procedures because the hysterectomy repair site is thin in some of these patients (13). Cavaterm plus (Wallsten Medical SA, Morges, Switzerland) TBA is different from the older version and it requires less cervical dilatation, utilizes higher balloon pressure (230-240 mmHg), and runs for a shorter treatment cycle of 10 min (15).…”

Section: Introductionmentioning

confidence: 99%

Is thermal balloon ablation in women with previous cesarean delivery successful?

2018

Turk J Med Sci

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Background/aim: Endometrial ablation is used to treat heavy menstrual bleeding in women who do not respond to standard therapy. This study aimed to compare treatment success in women with previous cesarean delivery and vaginal delivery who were subjected to thermal balloon ablation. Materials and methods:This cohort study enrolled women with symptoms of heavy menstrual bleeding who had major health problems and were considered as high-risk patients for hysterectomy. Patients were divided into two groups, vaginal delivery and cesarean section (C-section). Thermal balloon ablation was performed under general or regional anesthesia on days 3-5 of the menstrual cycle. Treatment success was compared between the two groups at 12 months.Results: This study involved 63 women with a mean age of 44.14 ± 6.56 years. Of these, 33 patients (54.1%) had a history of cesarean section and revealed positive results (69.7%) after 1 year of treatment. Age ≤ 45 years and uterine length < 9 cm were significantly associated with treatment success in women with a previous C-section. Conclusion:Thermal balloon ablation is a possible therapeutic option to treat menorrhagia occurring as a result of benign causes in women with previous C-section deliveries. The results are particularly successful in younger women with shorter uterine depth.

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Cavaterm thermal balloon endometrial ablation versus hysteroscopic endometrial resection to treat menorrhagia: The French, multicenter, randomized study

Brun

Raynal

Burlet

et al. 2006

Journal of Minimally Invasive Gynecology

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Factors affecting the outcome of endometrial ablation using Cavaterm™ plus

Cited by 6 publications

References 13 publications

Long-term outcome of endometrial ablation therapy with Cavaterm Thermal Balloon in patients with abnormal uterine bleeding

Long-term outcome of endometrial ablation therapy with Cavaterm Thermal Balloon in patients with abnormal uterine bleeding

Is thermal balloon ablation in women with previous cesarean delivery successful?

Cavaterm thermal balloon endometrial ablation versus hysteroscopic endometrial resection to treat menorrhagia: The French, multicenter, randomized study

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