Ultrasound-guided reoperative hysteroscopy for managing global endometrial ablation failures.

STUDY

OBJECTIVE

To determine whether ultrasound-guided reoperative hysteroscopy can reduce the need for hysterectomy in women experiencing delayed complications after global endometrial ablation (GEA) procedures.

DESIGN

Retrospective review (Canadian Task Force classification III).

SETTING

Private physician's office.

PATIENTS: Fifty women who had experienced a delayed complication after a GEA procedure were referred to the author's private practice.

INTERVENTION: All 50 women underwent ultrasound-guided reoperative hysteroscopy in which the uterine cavity was fully explored and areas of endometrial growth and other disease were identified and excised.

MEASUREMENTS AND MAIN

RESULTS

Intraoperative complications, patient satisfaction, and avoidance of hysterectomy were determined. There were no intraoperative or postoperative complications. The mean duration of follow-up was 18.1 months (95% confidence interval, 13.8-22.4). Forty-four of 49 patients (88.9%) were satisfied with the outcome, and further surgery was not necessary during the study period.

CONCLUSION

Ultrasound-guided reoperative hysteroscopy is a safe and effective minimally invasive treatment for management of delayed complications after GEA procedures.