Long-term clinical outcomes of repeat hysteroscopic endometrial ablation after failed hysteroscopic endometrial ablation

摘要: The study aims to describe patient characteristics, uterine cavity shape and histopathology, complications, long-term clinical outcomes of women who failed hysteroscopic rollerball or loop endometrial ablation (HEA) subsequently consented repeat (RHEA), is a retrospective cohort (Canadian Task Force classification II-2). was conducted in the university-affiliated teaching hospital. Patients included primary (PHEA, n = 183) underwent RHEA by senior author (GAV) from 1993 through 2007 with minimum follow-up 5 years. performed under general anesthesia using 26 F (~9 mm) resectoscope, monopolar electrode 136 (74.3 %), 3–5 mm 41 (22.4 %) combination 6 (3.3 %) women. Patient cavity, PHEA were evaluated chart review including office visits and/or telephone interview. corresponding median age (range) for 40 (26–70) 43 (29–76) years. Indications abnormal bleeding (AUB, 52.7 %), AUB dysmenorrhea (25.8 %), (18.8 %), others (2.7 %). persistent (53 %), uterine/pelvic pain (26.2 %), only (19.1 %), postmenopausal (1.1 %), thickened endometrium (0.5 %). Complications (n = 7, 3.8 %) false passage (3), perforation (2), (2). One excessive required immediate hysterectomy. At 9 years (5–19), 69 % avoided Repeat feasible, safe, effective alternative hysterectomy benign causes when experienced surgeons.