Immediate versus delayed treatment of perimenopausal bleeding due to benign causes by balloon thermal ablation

Lissak, Arie; Fruchter, Oren; Mashiach, Shlomo; Brandes-Klein, O; Sharon, Avishalom; Kogan, O; Abramovici, H

doi:10.1016/s1074-3804(99)80092-9

Cited by 25 publications

(9 citation statements)

References 15 publications

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“…The success rate in this study was 85% after 2‐year follow‐up, while the remaining 15% reported menorrhagia. These results are generally in agreement with the results of multicentered 16–18 and other prospective studies 2–6 . The overall success rates in these studies ranged from 80 to 90% (patients were amenorrheic, hypomenorrheic and euomenorrheic); up to 20% of them were treatment failures and nearly 11% required hysterectomy.…”

Section: Discussionsupporting

confidence: 89%

“…However, this assumption was not confirmed by many authors as Lissak et al . in 1999, 4 Amso et al . in 1998 17 and Vilos et al .…”

Section: Discussionmentioning

confidence: 98%

“…This is a simple, easy and minimally invasive procedure with minimal intraoperative or postoperative complications. It can be performed mostly under intravenous sedation with paracervical block 2–6 …”

Section: Introductionmentioning

confidence: 99%

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Prediction of successful menorrhagia treatment after thermal balloon endometrial ablation

Shaamash

Sayed

2004

J of Obstet and Gynaecol

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Section: Discussionsupporting

confidence: 89%

“…However, this assumption was not confirmed by many authors as Lissak et al . in 1999, 4 Amso et al . in 1998 17 and Vilos et al .…”

Section: Discussionmentioning

confidence: 98%

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Prediction of successful menorrhagia treatment after thermal balloon endometrial ablation

Shaamash

Sayed

2004

J of Obstet and Gynaecol

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“…Early in this decade, Neuwirth has described a heated balloon ablation system that meets the objectives of hysteroscopic surgery while minimizing the above mentioned risks and limiting the high surgical skills that is required for hysteroscopic surgery [13]. It has been shown in the literature that the objectives of hysteroscopic surgery can be reached by the simple thermal balloon ablation under local anesthesia, independent of the operator with no intraoperative complications and comparable postoperative complication rate [3,7,8,10,12]. This treatment modality, under local anesthesia with its comparable therapeutic role to hysteroscopy in the out-patient setting and with very few complications was used in high risk surgical patients [1,7].…”

Section: Discussionmentioning

confidence: 99%

Endometrial thermal balloon ablation under local anesthesia in patients with prosthetic heart valves: A pilot study

Soysal

Soysal²

2000

Zentralbl Gynakol

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We treated eleven cases of high risk surgical candidate women with prosthetic heart valves, complaining of menorrhagia, by thermal balloon ablation under local anesthesia after pharmacological endometrial thinning. Menorrhagia was documented by a validated pad scoring system. All patients were severely anemic at presentation. Nine of them had one valve replaced among these cases, two were restenosic at presentation, one had twice mitral valve replacement. Two of them had two valves replaced. All procedures were performed under local anesthesia supplemented by analgesics, no complications were observed either intraoperatively or during the follow-up of at least 24 months. After two years, thermal balloon ablation proved to be statistically significantly effective in terms of pad score reduction; two patients reported spotting and the rest was hypomenorrheic, none of the group experienced amenorrhea. This technique proved to be safe, feasible and effective under this clinical circumstances.

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“…Proper balloon inflation is able to compress even a thick endometrium, This explains why using thermal balloon to ablate the endometrium without prior medical thinning was not found to make a significant difference in the outcome (18).…”

Section: Methodsmentioning

confidence: 99%

Thermal Balloon Endometrial Ablation: A Safe and Effective Modality for Treatment of Dysfunctional Menorrhagia

Shawki

Ashraf

Bokl

et al. 2004

The Egypt. J. of Fert.y of Steri.

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Patients: twenty-four patients with dysfunctional menorrhagia that met the inclusion criteria.Intervention: Endometrial thermal ablation using the THERMACHOICE thermal balloon system. Measurement of Success:Treatment success was defined as elimination of menstruation (amenorrhea), or a significant reduction of flow to normal menstruation (cumcnorrhea) or less than normal menstruation (hypomcnorrhoea). Failed clinical outcome was defined as persistent menorrhagia. Results:No intraoperative complications occurred and postoperative morbidity was minimal. At 12 months follow-up period, amenorrhea was achieved in 6 patients (25,-*), Hypomenorrhea was achieved in 15 patients (62.5%) and Eurnenorrhca was achieved in 2 patients (8.3'J()). Only one patient experienced a failed clinical outcome. The overallComparison between pre and postoperative menstrual now was highly significant.Conclusion : Thermal balloon endometrial ablation is a safe, effective and easy technique in treatment of dysfunctional menorrhagia.

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Immediate versus delayed treatment of perimenopausal bleeding due to benign causes by balloon thermal ablation

Cited by 25 publications

References 15 publications

Prediction of successful menorrhagia treatment after thermal balloon endometrial ablation

Prediction of successful menorrhagia treatment after thermal balloon endometrial ablation

Endometrial thermal balloon ablation under local anesthesia in patients with prosthetic heart valves: A pilot study

Thermal Balloon Endometrial Ablation: A Safe and Effective Modality for Treatment of Dysfunctional Menorrhagia

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