Gynaecological surgery after endometrial ablation

Typeset version

 

TY  - JOUR
  - Molloy, D. and Taylor, P. T.
  - 1994
  - Gynaecological surgery after endometrial ablation
  - Validated
  - ()
  - 161
  - 10
  - 604
  - 6
  - OBJECTIVE: To determine the number of patients requiring further gynaecological surgery after endometrial ablation. DESIGN: A retrospective 20-26-month follow-up of private patients who underwent endometrial ablation, tracking subsequent surgical procedures through the Medicare database. Data were analysed on a national and State basis. SETTING AND PARTICIPANTS: 1853 private patients who had had an endometrial ablation from 1 April 1991 to 30 September 1991. Seven different groups of subsequent gynaecological surgical procedures were investigated. MAIN OUTCOME MEASURES: The need for subsequent endometrial ablation, hysterectomy (by any means) and other forms of gynaecological surgery within the defined time period. RESULTS: After initial ablation, 382 patients (21%) required further gynaecological surgery: 10% required hysterectomy; 6% required repeat ablation; and 5% of patients required other gynaecological procedures related to the uterus. These rates for further procedures were generally higher than reported previously after transcervical hysteroscopic endometrial ablation or resection. CONCLUSIONS: Endometrial ablation is associated with a significant medium and long term failure rate, necessitating further intervention. This failure rate may have been previously underestimated, and our higher rate may still be an underestimate.
DA  - 1994/NaN
ER  - 
@article{V235507967,
   = {Molloy, D. and Taylor, P. T.},
   = {1994},
   = {Gynaecological surgery after endometrial ablation},
   = {Validated},
   = {()},
   = {161},
   = {10},
  pages = {604--6},
   = {{OBJECTIVE: To determine the number of patients requiring further gynaecological surgery after endometrial ablation. DESIGN: A retrospective 20-26-month follow-up of private patients who underwent endometrial ablation, tracking subsequent surgical procedures through the Medicare database. Data were analysed on a national and State basis. SETTING AND PARTICIPANTS: 1853 private patients who had had an endometrial ablation from 1 April 1991 to 30 September 1991. Seven different groups of subsequent gynaecological surgical procedures were investigated. MAIN OUTCOME MEASURES: The need for subsequent endometrial ablation, hysterectomy (by any means) and other forms of gynaecological surgery within the defined time period. RESULTS: After initial ablation, 382 patients (21%) required further gynaecological surgery: 10% required hysterectomy; 6% required repeat ablation; and 5% of patients required other gynaecological procedures related to the uterus. These rates for further procedures were generally higher than reported previously after transcervical hysteroscopic endometrial ablation or resection. CONCLUSIONS: Endometrial ablation is associated with a significant medium and long term failure rate, necessitating further intervention. This failure rate may have been previously underestimated, and our higher rate may still be an underestimate.}},
  source = {IRIS}
}
AUTHORSMolloy, D. and Taylor, P. T.
YEAR1994
MONTH
JOURNAL_CODE
TITLEGynaecological surgery after endometrial ablation
STATUSValidated
TIMES_CITED()
SEARCH_KEYWORD
VOLUME161
ISSUE10
START_PAGE604
END_PAGE6
ABSTRACTOBJECTIVE: To determine the number of patients requiring further gynaecological surgery after endometrial ablation. DESIGN: A retrospective 20-26-month follow-up of private patients who underwent endometrial ablation, tracking subsequent surgical procedures through the Medicare database. Data were analysed on a national and State basis. SETTING AND PARTICIPANTS: 1853 private patients who had had an endometrial ablation from 1 April 1991 to 30 September 1991. Seven different groups of subsequent gynaecological surgical procedures were investigated. MAIN OUTCOME MEASURES: The need for subsequent endometrial ablation, hysterectomy (by any means) and other forms of gynaecological surgery within the defined time period. RESULTS: After initial ablation, 382 patients (21%) required further gynaecological surgery: 10% required hysterectomy; 6% required repeat ablation; and 5% of patients required other gynaecological procedures related to the uterus. These rates for further procedures were generally higher than reported previously after transcervical hysteroscopic endometrial ablation or resection. CONCLUSIONS: Endometrial ablation is associated with a significant medium and long term failure rate, necessitating further intervention. This failure rate may have been previously underestimated, and our higher rate may still be an underestimate.
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