Document Detail

The effectiveness of endometrial ablation with the Hydro ThermAblator (HTA) for abnormal uterine bleeding.
MedLine Citation:
PMID:  20430359     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We sought to determine the overall effectiveness and risk factors for failure of hydrothermal ablation in the management of abnormal uterine bleeding.
STUDY DESIGN: We performed a retrospective cohort analysis of patients who underwent hydrothermal ablation for abnormal uterine bleeding at our institution from July 2005 through February 2008. Variables analyzed included patient demographics, insurance status, body mass index, bleeding pattern, obstetric history, prior medical therapy and duration, uterine characteristics, and tobacco use history.
RESULTS: In all, 159 patients were identified and 142 charts were eligible for evaluation. A total of 45 patients (31.6%) had return of preablation vaginal bleeding. Menometrorrhagia was a significant predictor for failure (P = .027) and subsequent hysterectomy (P = .0025). Younger age (P = .044), tobacco use (P = .042), and Medicaid/Medicare insurance status (P = .039) were also associated with a higher risk of failure.
CONCLUSION: Women who are younger, use tobacco products, and have menometrorrhagia are more likely to fail hydrothermal ablation.
David A Iglesias; Shireen Madani Sims; John D Davis
Related Documents :
14618949 - A prospective comparative study of push and wireless-capsule enteroscopy in patients wi...
3491569 - Early endoscopy for acute lower gastrointestinal haemorrhage.
20230419 - Evaluation of bleeding and thrombotic events during long-term use of romiplostim in pat...
2126369 - The hermansky-pudlak syndrome. variable reaction to 1-desamino-8d-arginine vasopressin ...
16785199 - A prospective study of same day bi-directional endoscopy in the evaluation of patients ...
10207229 - Somatostatin or octreotide in acute variceal bleeding.
8911269 - Hypercoagulable state in patients with antiphospholipid syndrome is related to high ind...
10821549 - The effect of the canalith repositioning maneuver on resolving postural instability in ...
22089539 - Beta-blocker migraine prophylaxis affects the excitability of the visual cortex as reve...
Publication Detail:
Type:  Journal Article     Date:  2010-04-28
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  202     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-06-22     Revised Date:  2014-11-14    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  622.e1-6     Citation Subset:  AIM; IM    
Copyright Information:
Published by Mosby, Inc.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Age Factors
Cohort Studies
Endometrial Ablation Techniques / economics,  methods*
Insurance, Health
Metrorrhagia / economics,  surgery*
Middle Aged
Patient Satisfaction
Retrospective Studies
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Overexpression of miR-152 leads to reduced expression of human leukocyte antigen-G and increased nat...
Next Document:  Soluble endoglin in preeclamptic patients with or without HELLP syndrome.