| The effectiveness of endometrial ablation with the Hydro ThermAblator (HTA) for abnormal uterine bleeding. | |
| | |
MedLine Citation:
|
PMID: 20430359 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
David A Iglesias; Shireen Madani Sims; John D Davis |
Related Documents
:
|
21310339 - Argininemia presenting with progressive spastic diplegia. 1105279 - Primary reticulum cell sarcoma of the uterus. 10023879 - A simple one-stop menstrual problem clinic with use of hysterosonography for the diagno... 7839809 - Which are the major determinants for outcome in aneurysmal subarachnoid hemorrhage? a p... 8354539 - Endoscopic variceal ligation: an effective method of variceal obliteration. 9638459 - Intraoperative enteroscopy in obscure gastrointestinal hemorrhage. 12738459 - Endoscopic findings of diverticular inflammation in colonoscopy patients without clinic... 11975809 - Serum neopterin and activity of coronary artery disease. 7350049 - Chronic diarrhea of unknown origin. |
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: - |
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. |
Affiliation:
|
Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, FL, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Cohort Studies Endometrial Ablation Techniques / economics, methods* Female Humans Hysterectomy Insurance, Health Metrorrhagia / economics, surgery* Middle Aged Patient Satisfaction Retrospective Studies |
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.