1/6. Successful microwave endometrial ablation in a uterus enlarged by adenomyosis.adenomyosis can cause severe menorrhagia, which is a common indicator of the need for hysterectomy. None of the ablative techniques developed over the last two decades are of use in treating menorrhagia in a uterus enlarged by deep adenomyosis. Using a curved microwave applicator specifically developed for enlarged uterine cavities, microwave endometrial ablation at a frequency of 2.45 GHz was successfully applied in the treatment of menorrhagia in a patient with adenomyosis and an enlarged uterine cavity 12 cm in length. Two weeks after the operation, the patient experienced a menstrual period of ten days with no flooding. Menstrual duration gradually decreased to six days over the following six months. The quality of life score recovered to within the normal range six months after the operation. The post-operative sub-endometrial low signal intensity zone on the T2-weighted magnetic resonance images, which corresponds to the region of necrotic tissue, vanished 12 months after the operation. Although microwave endometrial ablation using the curved applicator could not treat bleeding from deep adenomyosis lesions, it improved menorrhagia in the uterus, which would conventionally require a hysterectomy.- - - - - - - - - - ranking = 1keywords = endometrial ablation, ablation (Clic here for more details about this article) |
2/6. Necrotizing granulomatous inflammation of the uterine body following diathermy ablation of the endometrium.A case of necrotizing granulomatous inflammation around the uterine cavity following hysteroscopic diathermy ablation of the endometrium is reported. This is believed to be only the fourth reported case of this condition.- - - - - - - - - - ranking = 0.00061782825393627keywords = ablation (Clic here for more details about this article) |
3/6. pyometra after endometrial resection and ablation.BACKGROUND: Hysteroscopic endometrial ablation is increasingly accepted as a safe means of controlling excessive uterine bleeding. CASE: A 47-year-old woman underwent endometrial resection and ablation for menorrhagia and subsequently developed pyometra and bacteremia. Placement of an intrauterine drain and intravenous antibiotic therapy led to full recovery. CONCLUSION: Postoperative pyometra occurred after endometrial resection and ablation, a procedure reported to have few complications. To our knowledge, this has not been reported before.- - - - - - - - - - ranking = 0.16740806057139keywords = endometrial ablation, ablation (Clic here for more details about this article) |
4/6. Intrauterine pregnancy following endometrial ablation.BACKGROUND: Only five pregnancies have been reported after endometrial ablation by resectoscopic endometrial resection, for a rate of 0.7% on the basis of three series. CASE: Endometrial ablation was performed using a roller-ball electrode on a 37-year-old woman who had menorrhagia and dysmenorrhea. She subsequently conceived but experienced a missed abortion. CONCLUSION: Pregnancy is a rare occurrence following endometrial ablation. The effect of endometrial ablation on pregnancy outcome is unknown.- - - - - - - - - - ranking = 1.1667902323175keywords = endometrial ablation, ablation (Clic here for more details about this article) |
5/6. Necrotising granulomas of the uterine corpus.Necrotising granulomatous inflammation of the uterine corpus associated with transcervical laser ablation of the endometrium occurred in four patients. The abnormalities seen, including extensive necrosis and hyalinisation with foreign body giant cells containing black foreign material, and eosinophilic homogenisation around blood vessels, were due to the effects of tissue fulguration. The presence of black foreign material in loosely organised histiocytes should alert the pathologist even in the absence of clinical information; stains for organisms are negative.- - - - - - - - - - ranking = 0.00012356565078725keywords = ablation (Clic here for more details about this article) |
6/6. Vascular complications of laparoscopic surgery.Laparoscopic surgery as an alternative to traditional laparotomies has become an important modality in the management of gynecologic diseases; however, it is not without potential risks. case reports describe numerous complications, including ureteral injuries, persistent ectopic pregnancies, hospital readmissions, unintended laparotomies to manage bowel or urinary tract injury, and hemorrhage. We retrospectively analyzed 195 women who underwent laparoscopic procedures to determine the frequency and severity of operative complications. Several procedures were often involved, including ablations of endometriosis and endometriomata, salpingo-oophorectomies, tubo-ovarian adhesiolyses, salpingo-salpingostomies, laser uterosacral nerve ablations, and laparoscopically assisted vaginal hysterectomies. Four major vascular complications were identified (2%), as well as one uterine perforation (0.5%) and two cases of subcutaneous emphysema (1%). There were no deaths. Three (1.5%) patients had an intraoperative laceration of the epigastric vessels during trocar placement, and one (0.5%) had a hematoma of the left common iliac vein that was self-contained. Management options included immediate laparotomy versus close observation with or without delayed laparotomy.- - - - - - - - - - ranking = 0.00024713130157451keywords = ablation (Clic here for more details about this article) |