Abstract
Objective
To asses the effectiveness of microwave endometrial ablation (MEA) using a new curved applicator for the emergent control of uterine hemorrhage.
Study design
Seven patients received emergency MEA. Three out of seven patients were treated with MEA as their primary procedure, and four out of seven patients were treated for an intraoperative hemorrhage.
Results
In all three patients treated preoperatively, MEA was highly effective and successfully controlled acute uterine hemorrhage. Four out of seven patients were treated with MEA for a hemorrhage following resection of a submucosal myoma or polyp. MEA successfully controlled bleeding in all four patients, thereby preventing them from undergoing hysterectomy.
Conclusion
Our results suggest that emergency MEA is a promising way to control a life-threatening uterine hemorrhage.
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Nakayama, K., Rahman, M.T., Rahman, M. et al. Microwave endometrial ablation is a highly efficacious way to emergently control life-threatening uterine hemorrhage. Arch Gynecol Obstet 283, 1065–1068 (2011). https://doi.org/10.1007/s00404-010-1496-z
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DOI: https://doi.org/10.1007/s00404-010-1496-z