Six hundred endometrial laser ablations.

Abstract

OBJECTIVE:

To report the effectiveness and safety of endometrial laser ablation in the treatment of menorrhagia, as determined by detailed follow-up of 600 operations for at least 6 months.

METHODS:

Operative data from 600 endometrial laser ablations performed on 524 women were collected. Five hundred one (96%) of these women were followed with consultations and questionnaires. The mean duration of follow-up was 15 months (range 6-42).

RESULTS:

No major operative morbidity occurred. There were no cases of primary or secondary hemorrhage, uterine perforations with the operating instrument, or immediate laparotomy. A successful outcome was reported by 83.4% of patients. A second endometrial laser ablation was required in 14.3% of the women. Success increased with increasing age and low fluid absorption. Cavity length, operation time, duration of follow-up, and whether it was a first or second procedure were not associated with any difference in the success rate, although the hysterectomy rate tended to rise with increasing length of follow-up.

CONCLUSION:

This study, the largest one published from a single institution, with a mean follow-up duration of 15 months, confirms that endometrial laser ablation is a safe and effective treatment for dysfunctional uterine bleeding.

• Authors: R Garry, D Shelley-Jones, P Mooney, G Phillips
• Journal: Obstetrics and gynecology (Obstet Gynecol) Vol. 85 Issue 1 Pg. 24-9 (Jan 1995) ISSN: 0029-7844 [Print] United States
• PMID: 7800318 (Publication Type: Clinical Trial, Journal Article)

Chemical References

• Furosemide

Topics

• Absorption
• Adult
• Age Factors
• Amenorrhea (epidemiology, etiology)
• Body Fluids (metabolism)
• Catheter Ablation
• Endometrium (surgery)
• Female
• Follow-Up Studies
• Furosemide (administration & dosage)
• Humans
• Hysterectomy
• Intraoperative Care
• Laser Therapy (adverse effects, methods)
• Menorrhagia (etiology, metabolism, surgery)
• Middle Aged
• Postoperative Complications (epidemiology, etiology)
• Regression Analysis
• Reoperation
• Retrospective Studies
• Time Factors
• Treatment Outcome