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Kathleen M Hanlon-lundberg - One of the best experts on this subject based on the ideXlab platform.
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Successful pregnancy after thermal balloon Endometrial Ablation.
Obstetrics and gynecology, 2004Co-Authors: Mustafa Kir, Kathleen M Hanlon-lundbergAbstract:Thermal balloon Ablation is as effective as other electrosurgical modalities used for Endometrial Ablation. Pregnancy rate after Endometrial Ablation is 0.24-0.68%. We report a near-term viable pregnancy after thermal balloon uterine Ablation. Thermal balloon uterine Endometrial Ablation was performed on a 38-year-old woman with menorrhagia. She conceived 11 months after the operation and decided to continue the pregnancy. After 35 weeks of uneventful gestation, she spontaneously delivered a liveborn infant. Although rare, pregnancy after Endometrial Ablation is possible. Obstetric complications, such as pathologic placental adherence and fetal demise due to a small, scarred uterine cavity, have been reported. This pregnancy went to 35 weeks without complication despite a three-chambered appearance of the uterus.
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Successful pregnancy after thermal balloon Endometrial Ablation.
Obstetrics & Gynecology, 2004Co-Authors: Mustafa Kir, Kathleen M Hanlon-lundbergAbstract:BACKGROUND: Thermal balloon Ablation is as effective as other electrosurgical modalities used for Endometrial Ablation. Pregnancy rate after Endometrial Ablation is 0.24-0.68%. We report a near-term viable pregnancy after thermal balloon uterine Ablation. CASE: Thermal balloon uterine Endometrial Ablation was performed on a 38-year-old woman with menorrhagia. She conceived 11 months after the operation and decided to continue the pregnancy. After 35 weeks of uneventful gestation, she spontaneously delivered a liveborn infant. CONCLUSION: Although rare, pregnancy after Endometrial Ablation is possible. Obstetric complications, such as pathologic placental adherence and fetal demise due to a small, scarred uterine cavity, have been reported. This pregnancy went to 35 weeks without complication despite a three-chambered appearance of the uterus.
James G. Linn - One of the best experts on this subject based on the ideXlab platform.
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Pregnancy complicated by uterine synechiae after Endometrial Ablation.
Obstetrics & Gynecology, 2005Co-Authors: Liberato V. Mukul, James G. LinnAbstract:BACKGROUND The use of Endometrial Ablation is becoming more common in the treatment of abnormal uterine bleeding. As a result, an increasing number of reproductive-aged women are electing to have an Endometrial Ablation. Women who undergo this procedure should be informed that desired fertility is a contraindication because Endometrial Ablation can significantly increase the risk of obstetric complications. This is the first reported pregnancy complicated by uterine synechiae in a patient with a history of an Endometrial Ablation (MEDLINE search, January 1985 to June 2004, key words "pregnancy," "obstetric," "Endometrial Ablation," "complications," and "hysteroscopy"). CASE A 34-year-old multigravida was referred to labor and delivery at 24 and weeks after ultrasound findings of a shortened cervix, multiple uterine synechiae, and multiple fetal anomalies. Two weeks after admission, she experienced preterm premature rupture of membranes with subsequent variable decelerations requiring delivery via classical cesarean. The fetal malformations were attributed to the multiple uterine synechiae caused by the previous Endometrial Ablation. CONCLUSION This case illustrates the significant morbidity and mortality associated with a pregnancy complicated by uterine synechiae after an Endometrial Ablation.
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Pregnancy complicated by uterine synechiae after Endometrial Ablation.
Obstetrics and gynecology, 2005Co-Authors: Liberato V. Mukul, James G. LinnAbstract:The use of Endometrial Ablation is becoming more common in the treatment of abnormal uterine bleeding. As a result, an increasing number of reproductive-aged women are electing to have an Endometrial Ablation. Women who undergo this procedure should be informed that desired fertility is a contraindication because Endometrial Ablation can significantly increase the risk of obstetric complications. This is the first reported pregnancy complicated by uterine synechiae in a patient with a history of an Endometrial Ablation (MEDLINE search, January 1985 to June 2004, key words "pregnancy," "obstetric," "Endometrial Ablation," "complications," and "hysteroscopy"). A 34-year-old multigravida was referred to labor and delivery at 24 and weeks after ultrasound findings of a shortened cervix, multiple uterine synechiae, and multiple fetal anomalies. Two weeks after admission, she experienced preterm premature rupture of membranes with subsequent variable decelerations requiring delivery via classical cesarean. The fetal malformations were attributed to the multiple uterine synechiae caused by the previous Endometrial Ablation. This case illustrates the significant morbidity and mortality associated with a pregnancy complicated by uterine synechiae after an Endometrial Ablation.
Larry Word - One of the best experts on this subject based on the ideXlab platform.
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Pyometra after thermal Endometrial Ablation.
Obstetrics and gynecology, 2007Co-Authors: Matthew Schlumbrecht, Sunil Balgobin, Larry WordAbstract:Pyometra is a rare but serious complication after thermal Endometrial Ablation. A 48-year-old woman with type 2 diabetes and a prosthetic mitral valve underwent a thermal Endometrial Ablation for abnormal uterine bleeding. She subsequently developed pyometra that induced sepsis and cervical necrosis necessitating hysterectomy. The development of a pyometra after Endometrial Ablation is likely multifactorial.
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Pyometra after thermal Endometrial Ablation.
Obstetrics & Gynecology, 2007Co-Authors: Matthew Schlumbrecht, Sunil Balgobin, Larry WordAbstract:BACKGROUND: Pyometra is a rare but serious complication after thermal Endometrial Ablation. CASE: A 48-year-old woman with type 2 diabetes and a prosthetic mitral valve underwent a thermal Endometrial Ablation for abnormal uterine bleeding. She subsequently developed pyometra that induced sepsis and cervical necrosis necessitating hysterectomy. CONCLUSION: The development of a pyometra after Endometrial Ablation is likely multifactorial.
Matthew K Hoffman - One of the best experts on this subject based on the ideXlab platform.
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Incidence and predictors of failed second-generation Endometrial Ablation
Gynecological Surgery, 2017Co-Authors: Jordan Klebanoff, Gretchen E. Makai, Nima R. Patel, Matthew K HoffmanAbstract:Background The need for any treatment following an Endometrial Ablation is frequently cited as “failed therapy,” with the two most common secondary interventions being repeat Ablation and hysterectomy. Since second-generation devices have become standard of care, no large cohort study has assessed treatment outcomes with regard to only these newer devices. We sought to determine the incidence and predictors of failed second-generation Endometrial Ablation, defined as the need for surgical re-intervention. We performed a retrospective cohort study at a single academic-affiliated community hospital. Subjects included women undergoing second-generation Endometrial Ablation for benign indications between October 2003 and March 2016. Second-generation devices utilized during the study period included the radiofrequency Ablation device (RFA), hydrothermal Ablation device (HTA), and the uterine balloon Ablation system (UBA). Results Five thousand nine hundred thirty-six women underwent Endometrial Ablation at a single institution (3757 RFA (63.3%), 1848 HTA (31.1%), and 331 UBA (5.6%)). The primary outcome assessed was surgical re-intervention, defined as hysterectomy or repeat Endometrial Ablation. Of the total 927 (15.6%) women who required re-intervention, 822 (13.9%) underwent hysterectomy and 105 (1.8%) underwent repeat Endometrial Ablation. Women who underwent re-intervention were younger (41.6 versus 42.9 years, p
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Incidence and predictors of failed second-generation Endometrial Ablation.
Gynecological Surgery, 2017Co-Authors: Jordan Klebanoff, Gretchen E. Makai, Nima R. Patel, Matthew K HoffmanAbstract:The need for any treatment following an Endometrial Ablation is frequently cited as “failed therapy,” with the two most common secondary interventions being repeat Ablation and hysterectomy. Since second-generation devices have become standard of care, no large cohort study has assessed treatment outcomes with regard to only these newer devices. We sought to determine the incidence and predictors of failed second-generation Endometrial Ablation, defined as the need for surgical re-intervention. We performed a retrospective cohort study at a single academic-affiliated community hospital. Subjects included women undergoing second-generation Endometrial Ablation for benign indications between October 2003 and March 2016. Second-generation devices utilized during the study period included the radiofrequency Ablation device (RFA), hydrothermal Ablation device (HTA), and the uterine balloon Ablation system (UBA). Five thousand nine hundred thirty-six women underwent Endometrial Ablation at a single institution (3757 RFA (63.3%), 1848 HTA (31.1%), and 331 UBA (5.6%)). The primary outcome assessed was surgical re-intervention, defined as hysterectomy or repeat Endometrial Ablation. Of the total 927 (15.6%) women who required re-intervention, 822 (13.9%) underwent hysterectomy and 105 (1.8%) underwent repeat Endometrial Ablation. Women who underwent re-intervention were younger (41.6 versus 42.9 years, p
Mustafa Kir - One of the best experts on this subject based on the ideXlab platform.
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Successful pregnancy after thermal balloon Endometrial Ablation.
Obstetrics and gynecology, 2004Co-Authors: Mustafa Kir, Kathleen M Hanlon-lundbergAbstract:Thermal balloon Ablation is as effective as other electrosurgical modalities used for Endometrial Ablation. Pregnancy rate after Endometrial Ablation is 0.24-0.68%. We report a near-term viable pregnancy after thermal balloon uterine Ablation. Thermal balloon uterine Endometrial Ablation was performed on a 38-year-old woman with menorrhagia. She conceived 11 months after the operation and decided to continue the pregnancy. After 35 weeks of uneventful gestation, she spontaneously delivered a liveborn infant. Although rare, pregnancy after Endometrial Ablation is possible. Obstetric complications, such as pathologic placental adherence and fetal demise due to a small, scarred uterine cavity, have been reported. This pregnancy went to 35 weeks without complication despite a three-chambered appearance of the uterus.
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Successful pregnancy after thermal balloon Endometrial Ablation.
Obstetrics & Gynecology, 2004Co-Authors: Mustafa Kir, Kathleen M Hanlon-lundbergAbstract:BACKGROUND: Thermal balloon Ablation is as effective as other electrosurgical modalities used for Endometrial Ablation. Pregnancy rate after Endometrial Ablation is 0.24-0.68%. We report a near-term viable pregnancy after thermal balloon uterine Ablation. CASE: Thermal balloon uterine Endometrial Ablation was performed on a 38-year-old woman with menorrhagia. She conceived 11 months after the operation and decided to continue the pregnancy. After 35 weeks of uneventful gestation, she spontaneously delivered a liveborn infant. CONCLUSION: Although rare, pregnancy after Endometrial Ablation is possible. Obstetric complications, such as pathologic placental adherence and fetal demise due to a small, scarred uterine cavity, have been reported. This pregnancy went to 35 weeks without complication despite a three-chambered appearance of the uterus.