Abstract
Background. As a vaporizing electrode has been successfully used to treat submucous myomas, we evaluated its safety and efficacy in performing endometrial ablation. Methods. Forty consecutive women with established menorrhagia with (n = 26) and without (n = 14) submucous myomas were enrolled in a prospective, noncomparative, pilot study. Hysteroscopic endometrial vaporization was performed with pure cutting current set at 200 watts. Results. All procedures were completed without complications. Median (interquartile range, IQR) fluid deficit was 90 (0-200) ml and median (IQR) operating time 10 (7-12.5) min. A significant correlation was observed between operating time and fluid absorption (Spearman's test by ranks, r = 0.47; p = 0.002). The degree of difficulty of the operation was classified as none on 28 (70%) occasions, mild on 11 (27.5%) and moderate on one (2.5%). After a mean ± s.d. follow-up of 20.3 ± 2.4 months, amenorrhea or spotting were reported by 23 (57.5%) subjects, hypomenorrhea by 10 (25%), normal flows by six (15%), and menorrhagia by one (2.5%). The median (IQR) menstrual score calculated according to a pictorial blood loss assessment chart dropped from 282.5 (199-383) to 0 (0-15) (p <0.0001). Six (15%) subjects were very satisfied with the effect of surgery, 30 (75%) satisfied, two (5%) uncertain, one (2.5%) dissatisfied and one (2.5%) very dissatisfied. Conclusions. The vaporizing electrode seems to combine the benefits of the cutting loop (speed, efficacy and possibility of removing myomas) and the roller-ball electrode (safety and limited fluid absorption) while avoiding their respective disadvantages, and may be considered an interesting alternative in the hysteroscopic treatment of menorrhagia.
| Original language | English |
|---|---|
| Pages (from-to) | 688-693 |
| Number of pages | 6 |
| Journal | Acta Obstetricia et Gynecologica Scandinavica |
| Volume | 77 |
| Issue number | 6 |
| Publication status | Published - 1998 |
Fingerprint
Keywords
- Endometrial ablation
- Hysteroscopy
- Menorrhagia
- Metrorrhagia
- Uterine leiomyomas
ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
Endometrial ablation with a vaporizing electrode. II. Clinical outcome of a pilot study. / Vercellini, Paolo; Oldani, Sabina; De Giorgi, Olga; Milesi, Marina; Merlo, Daniela; Crosignani, Pier Giorgio.
In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 77, No. 6, 1998, p. 688-693.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endometrial ablation with a vaporizing electrode. II. Clinical outcome of a pilot study
AU - Vercellini, Paolo
AU - Oldani, Sabina
AU - De Giorgi, Olga
AU - Milesi, Marina
AU - Merlo, Daniela
AU - Crosignani, Pier Giorgio
PY - 1998
Y1 - 1998
N2 - Background. As a vaporizing electrode has been successfully used to treat submucous myomas, we evaluated its safety and efficacy in performing endometrial ablation. Methods. Forty consecutive women with established menorrhagia with (n = 26) and without (n = 14) submucous myomas were enrolled in a prospective, noncomparative, pilot study. Hysteroscopic endometrial vaporization was performed with pure cutting current set at 200 watts. Results. All procedures were completed without complications. Median (interquartile range, IQR) fluid deficit was 90 (0-200) ml and median (IQR) operating time 10 (7-12.5) min. A significant correlation was observed between operating time and fluid absorption (Spearman's test by ranks, r = 0.47; p = 0.002). The degree of difficulty of the operation was classified as none on 28 (70%) occasions, mild on 11 (27.5%) and moderate on one (2.5%). After a mean ± s.d. follow-up of 20.3 ± 2.4 months, amenorrhea or spotting were reported by 23 (57.5%) subjects, hypomenorrhea by 10 (25%), normal flows by six (15%), and menorrhagia by one (2.5%). The median (IQR) menstrual score calculated according to a pictorial blood loss assessment chart dropped from 282.5 (199-383) to 0 (0-15) (p <0.0001). Six (15%) subjects were very satisfied with the effect of surgery, 30 (75%) satisfied, two (5%) uncertain, one (2.5%) dissatisfied and one (2.5%) very dissatisfied. Conclusions. The vaporizing electrode seems to combine the benefits of the cutting loop (speed, efficacy and possibility of removing myomas) and the roller-ball electrode (safety and limited fluid absorption) while avoiding their respective disadvantages, and may be considered an interesting alternative in the hysteroscopic treatment of menorrhagia.
AB - Background. As a vaporizing electrode has been successfully used to treat submucous myomas, we evaluated its safety and efficacy in performing endometrial ablation. Methods. Forty consecutive women with established menorrhagia with (n = 26) and without (n = 14) submucous myomas were enrolled in a prospective, noncomparative, pilot study. Hysteroscopic endometrial vaporization was performed with pure cutting current set at 200 watts. Results. All procedures were completed without complications. Median (interquartile range, IQR) fluid deficit was 90 (0-200) ml and median (IQR) operating time 10 (7-12.5) min. A significant correlation was observed between operating time and fluid absorption (Spearman's test by ranks, r = 0.47; p = 0.002). The degree of difficulty of the operation was classified as none on 28 (70%) occasions, mild on 11 (27.5%) and moderate on one (2.5%). After a mean ± s.d. follow-up of 20.3 ± 2.4 months, amenorrhea or spotting were reported by 23 (57.5%) subjects, hypomenorrhea by 10 (25%), normal flows by six (15%), and menorrhagia by one (2.5%). The median (IQR) menstrual score calculated according to a pictorial blood loss assessment chart dropped from 282.5 (199-383) to 0 (0-15) (p <0.0001). Six (15%) subjects were very satisfied with the effect of surgery, 30 (75%) satisfied, two (5%) uncertain, one (2.5%) dissatisfied and one (2.5%) very dissatisfied. Conclusions. The vaporizing electrode seems to combine the benefits of the cutting loop (speed, efficacy and possibility of removing myomas) and the roller-ball electrode (safety and limited fluid absorption) while avoiding their respective disadvantages, and may be considered an interesting alternative in the hysteroscopic treatment of menorrhagia.
KW - Endometrial ablation
KW - Hysteroscopy
KW - Menorrhagia
KW - Metrorrhagia
KW - Uterine leiomyomas
UR - http://www.scopus.com/inward/record.url?scp=0031717425&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031717425&partnerID=8YFLogxK
M3 - Article
C2 - 9688250
AN - SCOPUS:0031717425
VL - 77
SP - 688
EP - 693
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
SN - 0001-6349
IS - 6
ER -