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Evaluation of Hydro ThermAblator for endometrial destruction in patients with menorrhagia
G B das Dores1, R M Richart, S M Nicolau
1Research Institute of Gynecology and Oncology, Sao Paulo, Brazil.
Objective:
To describe endometrial destruction with the Hydro ThermAblator.
Design:
(Canadian Task Force classification II-1).
Setting:
University-affiliated hospital.
Patients:
Twenty-six women with uncontrolled menorrhagia.
Intervention:
Endometrial ablation with saline heated to 90 degrees C and circulated in the uterine cavity for 10 minutes under hysteroscopic control.
Measurements And Main Results:
All patients tolerated the procedure well, all but one was satisfied with the results, and there were no significant side effects or complications. Seventy-seven percent of women were either amenorrheic or hypomenorrheic after 6 months, and 88% were amenorrheic or hypomenorrheic after 1 year, including one patient who was treated a second time; 87.5% were amenorrheic or hypomenorrheic at 18 months. One woman had persistent menorrhagia and was treated by hysterectomy.
Conclusion:
In this study, endometrial ablation was performed successfully with the Hydro ThermAblator in 25 of 26 women. (J Am Assoc Gynecol Laparosc 6(3):275-278, 1999)