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KMID : 0386020010130020139
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Korean Journal of Gynecology Endoscopy and Minimally Invasive Surgery
2001 Volume.13 No. 2 p.139 ~ p.144
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Thermal Ballon Endometrial Ablation for the Treatment of Menorrhagia
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전규정/Kyu Jeong Jeon
차선희/정태화/정창조/조진호/Sun Hee Cha/Tae Wha Jeong/Chang Jo Jung/Jin Ho Jo
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Abstract
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Objective: To evaluate the safety and efficacy of thermal balloon endometrial ablation therapy in women with menorrhagia. Material and Methods: From December 1999 to March 2001, fifteen procedures of thermal balloon endometrial
ablation
were performed. Treatment consisted of controlled heating to 87℃ of 5% dextrose in water within an intrauterine latex balloon pressurized to 160㎜Hg for 8 minutes. General anesthesia was employed in 3 cases while local anesthesia with
intravenous
sedation was used in 12 cases. Exclusion criteria included structural uterine abnormality or premalignant lesion. Follow up period was 6 months to 21 months. Success was defined as the subjective reduction of menses to eumenorrhea or less.
Results: No intra-operative complication occurred and post-operative morbidity was minimal. Overall success of the procedure was 80%(12 case), with 27%(4 case) reporting amenorrhea, 53%(8 case) hypomenorrhea. Conclusion: Thermal
balloon
endometrial ablation is safe and effective in properly selected women with menorrhagia and is potentially an outpatient procedure.
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KEYWORD
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