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September 2007 · Vol. 19, No. 09

Endometrial ablation devices: How to make them truly safe

Nonhysteroscopic, minimally invasive ablation devices are not entirely benign. Recognizing that fact is the first step toward a solution.


Fast Track

Although few studies of nonhysteroscopic endometrial ablation techniques report any complications, Baggish and Savells found a number of injuries when they searched hospital records and the FDA database

Nonhysteroscopic endometrial ablation devices were developed to minimize the skill required and eliminate the need for distension medium without sacrificing efficacy

Microwave energy does not require direct contact with tissue, as it will “fill the gap” caused by cornual and fibroid distortions

The prinicipal indication for endometrial ablation is abnormal uterine bleeding

Do not activate hot water or electrosurgical energy unless you are 100% certain the device is within the uterine cavity

Poorly screened patients who have underlying hyperplasia may develop postablation carcinoma

IN THIS ARTICLE

Michael  S.  Baggish,  MD

Dr. Baggish is Chairman of the Department of Obstetrics and Gynecology at Good Samaritan Hospital and Director of Obstetrics and Gynecology Residency Training for TriHealth Hospitals in Cincinnati. He is also Professor of Obstetrics and Gynecology at the University of Cincinnati College of Medicine.

The author reports no financial relationships relevant to this article.

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