One patient, two uteri, two endometrial ablations: case report of thermal balloon ablation in uterine didelphys  

Oleh:

Chapa, Hector O. ; Venegas, Gonzalo ; Antonetti, Alfred G.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 06 (May 2011), page 2123.e5-e7.
Topik: Heavy menstrual bleeding; local anesthesia; uterine didelphys; thermal balloon ablation

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To describe the clinical application and outcomes after endometrial ablation with ThermachoiceIII (Ethicon, Somerville, NJ) in a patient with uterine didelphys with heavy menstrual bleeding. Design Case report. Setting Inner-city community obstetrics and gynecology clinic. Patient(s) A 44-year-old Hispanic woman, gravida 3, para 0, with three spontaneous abortions. Intervention(s) The patient underwent diagnostic hysteroscopy, gynecologic dilation and curettage, and endometrial ablation with ThermachoiceIII. Main Outcome Measure(s) Menstrual pattern at 3 months postoperatively, as either amenorrhea (complete lack of menstrual flow), hypomenorrhea (scant or minimal flow lasting <5 days, requiring only light pads), or failure (flow similar to pretreatment state or requiring any other therapy), as well as dysmenorrhea reduction from baseline. Hemoglobin value at 3 months was compared with baseline. Result(s) At 3 months, hypomenorrhea was maintained. Bleeding days were 10 per month at baseline and 2 per month after therapy. Visual analogue scale score for dysmenorrhea was 8 at baseline and 2 (mean) at study end. Hemoglobin was 8.9 g/dL at baseline (preoperatively) and 11.1 g/dL at 3 months postoperatively. Conclusion(s) Successful conservative therapy of menorrhagia seems possible with thermal balloon ablation in a uterine didelphic patient.

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