Does hydrothermal ablation avoid hysterectomy? Long-term follow-up - 19/08/11
Résumé |
Objective |
We sought to assess the long-term success rate of the HydroThermAblator system (HTA).
Study Design |
We conducted a retrospective cohort study of 376 patients who underwent HTA at our hospital during an 8-year period, following case note review and distribution of a validated menorrhagia questionnaire.
Results |
The mean age of patients was 43 years. Operative complications included 3 women (0.8%) who experienced intraoperative burns. Of the 248 (66%) returned questionnaires, satisfaction rates were high at 77%. The amenorrhea rate was 38%, with a further 37% of women reporting a substantial decrease in their blood loss. In all, 29 (11%) women underwent subsequent hysterectomy for persistent menorrhagia or dysmenorrhea. Younger women had a significantly higher chance of proceeding to subsequent (P < .05) hysterectomy.
Conclusion |
This study confirms the long-term patient satisfaction with HTA and that the overall probability of proceeding to subsequent hysterectomy over 8 years was only 11%.
Le texte complet de cet article est disponible en PDF.Key words : amenorrhea rate, hysterectomy rate following hydrothermal ablation, long-term success rate of hydrothermal ablation
Plan
| Cite this article as: Kopeika J, Edmonds SE, Mehra G, et al. Does hydrothermal ablation avoid hysterectomy? Long-term follow-up. Am J Obstet Gynecol 2011;204:207.e1-8. |
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| Reprints not available from the authors. |
Vol 204 - N° 3
P. 207.e1-207.e8 - mars 2011 Retour au numéro
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