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Comparative Study between Endometrial Resection and Electrocoagulation in Patients with Abnormal Uterine Bleeding

Open Journal of Obstetrics and Gynecology 2017年第3期7卷 312-325页

作者： Leonardo Vieira Elias Daniel Spadoto-Dias Nilton José Leite Flávia Neves Bueloni-Dias gustavo filipov peres Carlos Roberto Padovani Rogério Dias Department of Gynecology and Obstetrics Botucatu Medical School S&atilde o Paulo State University—UNESP S&atilde o Paulo Brazil Department of Biostatistics Botucatu Institute of Biosciences S S&atilde o Paulo State University—UNESP S&atilde o Paulo Brazil The Gynecological Endoscopy and Family Planning Sector Botucatu Medical School Hospital S&atilde o Paulo State University—UNESP and Principal Investigator S&atilde o Paulo Brazil

Objective: To compare clinical outcomes between two first-generation endometrial ablation techniques. Design: Prospective comparative coorte. Setting: Tertiary public hospital, university teaching center. Seventy-three patients with abnormal uterine bleeding unresponsive to clinical treatment submitted to endometrial ablation from October 2011 to September 2013. Methods and Main Outcome Measures: Patients were assigned to either monopolar U-shaped electrode resection with rollerball electrocoagulation (group A, n = 36) or rollerball electrocoagulation alone (group B, n = 37). Mean follow-up length was 359 (280 - 751) and 370 days (305 - 766) in groups A and B, respectively. Bleeding pattern, associated symptoms, failure/success rates were assessed 30, 90, 180 and 360 days post-procedure. Findings: Patient characteristics were similar in both groups (P ≥ 0.05). Surgery duration (mean of 48.5 [±12.0] vs. 31.9 [±5.6] min, P Conclusions: Endometrial ablation using rollerball electrocoagulation alone may be considered safer than resection with rollerball electrocoagulation, which requires shorter surgical time and less distention medium, and is associated with lower postoperative vaginal discharge incidence. Success rate did not statistically differ between groups, but study parameters in absolute values and percents were superior in group B.

关键词： Uterine Bleeding Hysteroscopy Surgical Procedures Endometrial Ablation Techniques Patient Satisfaction

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