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Hysterectomy Subsequent to Endometrial Ablation

Shavell, Valerie I., MD ; Diamond, Michael P., MD ; Senter, James P ; Kruger, Michael L ; Johns, D. Alan, MD

Journal of minimally invasive gynecology, 2012-07, Vol.19 (4), p.459-464 [Periódico revisado por pares]

United States: Elsevier Inc

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Título:
Hysterectomy Subsequent to Endometrial Ablation
Autor: Shavell, Valerie I., MD ; Diamond, Michael P., MD ; Senter, James P ; Kruger, Michael L ; Johns, D. Alan, MD
Assuntos: Adenomyosis ; Adult ; Age Factors ; Catheter Ablation ; Cesarean Section ; Chi-Square Distribution ; Cryoablation ; Cryosurgery ; Endometrial ablation ; Endometrial Ablation Techniques - statistics & numerical data ; Endometriosis - surgery ; Female ; Humans ; Hysterectomy ; Hysterectomy - statistics & numerical data ; Kaplan-Meier Estimate ; Menorrhagia - surgery ; Middle Aged ; Obstetrics and Gynecology ; Proportional Hazards Models ; Radiofrequency ; Retrospective Studies ; Risk Factors ; Rollerball ; Surgery ; Thermal balloon ; Time Factors ; Uterine Diseases - surgery
É parte de: Journal of minimally invasive gynecology, 2012-07, Vol.19 (4), p.459-464
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Abstract Study Objective To estimate the incidence of and factors associated with hysterectomy subsequent to endometrial ablation. Design Retrospective cohort study (Canadian Task Force classification II-2). Setting Gynecology practice. Patients Women who underwent endometrial ablation from January 2003 to June 2010, with a minimum follow-up of 9 months. Interventions Endometrial ablation and hysterectomy. Measurements and Main Results Of 1169 women, 157 (13.4%) underwent hysterectomy subsequent to endometrial ablation. Women who underwent subsequent hysterectomy were significantly younger at ablation (mean [SD; 95% CI] 39.0 [6.8; 38.0–40.1] years vs 41.4 [7.0; 41.0–41.9] years; p < .001) and were more likely to have previously delivered via cesarean section (26.3 vs 18.1%; p = .02). The rate of hysterectomy was significantly associated with the type of ablation performed: 33.0% for rollerball vs 16.5% for thermal balloon (p = .003), 11.0% for radiofrequency (p < .001), and 9.8% for cryoablation (p < .001). Time to hysterectomy also differed significantly based on the type of ablation performed (p = .006). Adenomyosis was present in 44.4% of hysterectomy specimens. Conclusion With a mean follow-up of 39 months, 13.4% of women underwent hysterectomy subsequent to ablation. Women who were younger at ablation had an increased likelihood of hysterectomy. Rate and time to hysterectomy were associated with the type of ablation performed.
Editor: United States: Elsevier Inc
Idioma: Inglês

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Hysterectomy Subsequent to Endometrial Ablation

Shavell, Valerie I., MD ; Diamond, Michael P., MD ; Senter, James P ; Kruger, Michael L ; Johns, D. Alan, MD

United States: Elsevier Inc

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