Document Detail


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
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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.
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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
Grant Support
ID/Acronym/Agency:
T32 CA101642/CA/NCI NIH HHS

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


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