LiNA OperaScope^(TM) for microwave endometrial ablation for endometrial polyps with heavy menstrual bleeding: A case report

作     者：Kaoru Kakinuma Toshiyuki Kakinuma Kyouhei Ueyama Takumi Shinohara Rora Okamoto Kaoru Yanagida Nobuhiro Takeshima Michitaka Ohwada 

作者机构：Department of Obstetrics and GynecologyInternational University of Health and Welfare HospitalTochigi 329-2763NasushiobaraJapan 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2023年第11卷第36期

页      面：8557-8562页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Heavy menstrual bleeding Microwave endometrial ablation Endometrial polyp Hysteroscopy Minimally invasive surgery Dysmenorrhea Case report 

摘      要：BACKGROUND The procedure for microwave endometrial ablation(MEA)follows established MEA practice guidelines but requires hysteroscopic observation of the uterine lumen before and after *** a luminal uterine lesion is recognized,its removal requires preoperative dilation of the cervix because the outer diameter of a conventional rigid hysteroscope is 8.7 ***,a fully disposable rigid hysteroscope(LiNA OperaScope^(TM))with a narrow diameter(4.4 mm)and forceps capable of extracting endometrial lesions has become *** SUMMARY Here,we report a case of heavy menstrual bleeding(HMB)complicated by endometrial polyps where MEA was performed after removing endometrial polyps using the LiNA OperaScope^(TM) device.A 48-year-old woman with three prior pregnancies and three deliveries was referred to our hospital for further examination and treatment after being diagnosed with HMB 2 years *** patient underwent MEA following endometrial polypectomy using LiNA OperaScope^(TM).After MEA,endometrial cauterization was again examined using the LiNA OperaScope^(TM),and the procedure was *** preoperative cervical dilation was *** patient’s clinical course was favorable,and she was discharged 3 h after *** month after surgery,menstruation resumed,and both HMB and dysmenorrhea improved markedly from 10 preoperatively to 1 postoperatively,as assessed subjectively using the visual analog *** patient’s postoperative course was uneventful with no *** LiNA OperaScope^(TM) can be a minimally invasive treatment for MEA of HMB with uterine lumen lesions.