[How I treat ... particular endometrial lesions by hydro-thermo-ablation]

The hydro-thermo-ablation is a new technique of ablation of the endometrium, that uses a small quantity of saline solution at 90 degrees C, perfused under hysteroscopic control at a pressure of 50 to 55 mmHg and that allows uterus distention and uniform dispersion of the warm liquid. The endometrium prepared by Gn-RH analogues is then destructed at 4 mm depth and won't regenerate. This technique is safe because realized at low pressure and without possibility of extravasation of the used liquid, and can even be used under local anesthesia. In the future, this technique may take the place of some of our indications of hysterectomy.