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Endometrial ablation using hysteroscopic instillation of hot saline solution into the uterus
Y Perlitz1, D Rahav, M Ben-Ami
1Department of Obstetrics & Gynecology, The Rappaport Faculty of Medicine, Technion Institute of Technology, Poriya Hospital, Tiberias, Haifa, Israel.
Objective:
To evaluate the clinical effectiveness and safety of endometrial ablation by hysteroscopic instillation of hot saline using the Hydro-Therm-Ablator (HTA) system.
Methods:
A total of 14 patients with menorrhagia, underwent the HTA procedure under general anethesia. Follow up of 9-18 months is reported. Three patients had undergone tubal ligation years before the procedure and one underwent it immediately after HTA at the same session.
Results:
One procedure was cancelled due to technical problems, and roller-ball ablation was performed. There were no procedure related complications. A total of 11 patients reported significant reduction in bleeding, or amenorrhea, 9-18 months after the HTA procedure. One patient, although eumenorrheic after the ablation, considered the procedure a failure and requested hysterectomy. One patient with menorrhagia 3 months after the procedure, had a second HTA ablation and is now amenorrheic.
Conclusions:
This series of patients who underwent HTA ablation had successful reduction of menorrhagia to oligomenorrhea or amenorrhea.