First-generation endometrial ablation: roller-ball vs loop vs laser

被引:16
|
作者
Papadopoullos, Nikolaos P.
Magos, Adam [1 ,2 ]
机构
[1] Univ Dept Obstet & Gynaecol, Royal Free Hosp, Minimally Invas Therapy Unit, London NW3 2QG, England
[2] Univ Dept Obstet & Gynaecol, Royal Free Hosp, Endoscopy Training Ctr, London NW3 2QG, England
关键词
endometrial ablation; resectoscope; first generation techniques; loop electrode; roller-ball; laser;
D O I
10.1016/j.bpobgyn.2007.03.014
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Hysteroscopic guided or first generation endometrial ablation methods include transcervical endometrial resection, and rollerball and laser ablation. These techniques have been shown to be effective and safe alternatives to hysterectomy for dysfunctional uterine bleeding resulting in reduction in menstrual blood loss and dysmenorrhoea, correction of anaemia and improvement in quality of life. Compared with hysterectomy, treatment is associated with lower morbidity, shorter hospitalisation and faster recovery, and reduced treatment costs. As a result, the I st generation ablation techniques are recognized as the "gold standard" ablation methods. There are many similarities between the three techniques with respect to surgical principles and effectiveness. Certainly, menstrual improvement and patient satisfaction are similar with all three methods. In contrast, the complication profile of the three techniques is different, but surgical experience is arguably a much more important arbiter of patient safety than the technique itself.
引用
收藏
页码:915 / 929
页数:15
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