The Journal of the American Association of Gynecologic Laparoscopists · 2003
Long-term follow-up of endometrial ablation by modified loop resection.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lefler Hugh T
Аннотация
STUDY OBJECTIVE: To describe endometrial ablation by rollerbar-loop-rollerbar (RLR) technique and determine the procedure's long-term results.
DESIGN: Prospective observational study (Canadian Task Force classification II-2).
SETTING: Private gynecology practice.
PATIENTS: One hundred seventeen women with menorrhagia not related to malignancy who were not interested in future fertility.
INTERVENTION: After performing rollerbar ablation through a short large Graves speculum, loop resection was carried out down to and throughout superficial myometrium. Rollerbar redesiccation of the cornua and supracervical areas of the uterus completed the procedure.
MEASUREMENTS AND MAIN RESULTS: Patients were contacted by telephone or mail 4 to 5 years after RLR and asked to complete a questionnaire to assess their bleeding status, level of satisfaction with the procedure, and whether or not they had undergone hysterectomy. Of 109 patients responding, 60 (55%) were amenorrheic or menopausal with no bleeding, 21 (19%) had spotting, and 17 (16%) had undergone hysterectomy. Eighty-four (79%) were very satisfied.
CONCLUSION: RLR endometrial ablation was associated with a high rate of amenorrhea and substantial long-term patient satisfaction, but the rate of postablation hysterectomy remained significant.
DESIGN: Prospective observational study (Canadian Task Force classification II-2).
SETTING: Private gynecology practice.
PATIENTS: One hundred seventeen women with menorrhagia not related to malignancy who were not interested in future fertility.
INTERVENTION: After performing rollerbar ablation through a short large Graves speculum, loop resection was carried out down to and throughout superficial myometrium. Rollerbar redesiccation of the cornua and supracervical areas of the uterus completed the procedure.
MEASUREMENTS AND MAIN RESULTS: Patients were contacted by telephone or mail 4 to 5 years after RLR and asked to complete a questionnaire to assess their bleeding status, level of satisfaction with the procedure, and whether or not they had undergone hysterectomy. Of 109 patients responding, 60 (55%) were amenorrheic or menopausal with no bleeding, 21 (19%) had spotting, and 17 (16%) had undergone hysterectomy. Eighty-four (79%) were very satisfied.
CONCLUSION: RLR endometrial ablation was associated with a high rate of amenorrhea and substantial long-term patient satisfaction, but the rate of postablation hysterectomy remained significant.