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Titolo:
HYSTEROSCOPIC ENDOMETRIAL ABLATION TO AVO ID HYSTERECTOMY IN HIGH-RISK PATIENTS
Autore:
WALLWIENER D; RIMBACH S; KAUFMANN M; AYDENIZ B; SOHN C; BASTERT G; CONRADI R;
Indirizzi:
UNIV HEIDELBERG,FRAUENKLIN,VOSSSTR 9 D-69115 HEIDELBERG GERMANY UNIV KLIN HEIDELBERG,ANASTHESIOL KLIN HEIDELBERG GERMANY
Titolo Testata:
Geburtshilfe und Frauenheilkunde
fascicolo: 9, volume: 54, anno: 1994,
pagine: 498 - 501
SICI:
0016-5751(1994)54:9<498:HEATAI>2.0.ZU;2-5
Fonte:
ISI
Lingua:
GER
Soggetto:
RESECTION; ANALOGS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
12
Recensione:
Indirizzi per estratti:
Citazione:
D. Wallwiener et al., "HYSTEROSCOPIC ENDOMETRIAL ABLATION TO AVO ID HYSTERECTOMY IN HIGH-RISK PATIENTS", Geburtshilfe und Frauenheilkunde, 54(9), 1994, pp. 498-501

Abstract

Hysteroscopic endometrial ablation under maximal anaesthesiological surveillance was performed in 34 high-risk patients to avoid hysterectomy. It was a collective of patients with heavy thrombo-embolic or thrombotic disease, either under permanent anticoagulation due to residualdisease or multiple endoprosthetic treatment, or with endogenous coagulopathy. In all these women, hysterectomy was either a relative or anabsolute contraindication. In 22 patients, treatment resulted in complete amenorrhoea or at least hypomenorrhoea (without menometrorrhagia)respectively cyclic spotting. In 6 further patients, amenorrhoea was achieved after a repeat procedure. Endometrial ablation was thus successful in 28 of 34 cases. In these patients, hysterectomy with the riskof major or even lethal complications, could thus be avoided. Hysterectomy, however, had to be performed in 2 women with extensive adenomyosis uteri interna. Within two respectively three years after endometrial ablation, two other patients died from causes unrelated to the surgical intervention (cardiac infarction, cerebral haemorrhage). Follow-up ranged from 1 to 5 years. Hysteroscopic endometrial ablation proved an effective therapeutic option in this selected group of patients. Other indications require further study.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 21:51:02