Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/7998
Citations | ||
Scopus | Web of ScienceĀ® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Endometrial Balloon Ablation Under Local Analgesia and Intravenous Sedation |
Author: | Duggan, P. Dodd, J. |
Citation: | Australian and New Zealand Journal of Obstetrics and Gynaecology, 1999; 39(1):123-126 |
Publisher: | WILEY |
Issue Date: | 1999 |
ISSN: | 0004-8666 1479-828X |
Abstract: | We report a series of women (n = 16) with menorrhagia undergoing endometrial balloon ablation under local analgesia with light sedation. Ten women had significant, coexistent medical problems. The median duration of the procedure was 8.6 minutes (range 8.47-9.5 minutes). Postoperative assessment included pain scores assessed by linear analogue scale; requirement for opiate analgesia; length of postoperative stay and patient satisfaction with the procedure. The minimum postoperative follow-up was 6 months. The procedure was well-tolerated and in 80% of cases either no postoperative analgesia or simple analgesia only was required. Two women were admitted overnight, 1 for social reasons and the other for pain control. Three women ages 44, 54 and 55 years were amenorrhoeic at 6 months; 8 women were still menstruating but satisfied with the outcome and 5 women are seeking further treatment for menorrhagia. While the longer-term efficacy of the procedure remains to be established these results indicate that endometrial balloon ablation under local analgesia and light sedation, a simple and acceptable technique, may be a suitable alternative to more difficult procedures such as rollerball ablation. This is most likely to be the case in appropriately selected women who are willing to accept a reduction in menstrual flow rather than amenorrhoea as the treatment outcome. The main disadvantage of balloon ablation is the cost of the disposable balloons and the need for a dedicated electrosurgical unit. |
Keywords: | Endometrium Humans Menorrhagia Pain, Postoperative Catheter Ablation Treatment Outcome Catheterization Length of Stay Anesthesia, Local Conscious Sedation Follow-Up Studies Adult Middle Aged Patient Satisfaction Female |
DOI: | 10.1111/j.1479-828X.1999.tb03463.x |
Published version: | http://dx.doi.org/10.1111/j.1479-828x.1999.tb03463.x |
Appears in Collections: | Aurora harvest Obstetrics and Gynaecology publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.