Morris Wortman1, Amy Daggett2, Allison Deckman2. 1. Center for Menstrual Disorders, University of Rochester Medical Center, Rochester, New York. Electronic address: moe2020@cmdrc.com. 2. Center for Menstrual Disorders, University of Rochester Medical Center, Rochester, New York.
Abstract
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.
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.