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The NovaSure – Endometrial Ablation System, FDA approved in 2001, utilizes a metallized mesh electrode array that is introduced into the uterine cavity, applying bipolar electrical energy that creates heat to ablate the endometrium. The Novasure average procedure time is 5 minutes from device insertion to removal and is usually performed ...
Endometrial polyp. Polypectomy. Abnormal uterine bleeding; Adenomyosis; Endometrial ablation [10] (Some newer systems specifically developed for endometrial ablation such as the Novasure do not require hysteroscopy) Myomectomy for uterine fibroids. [1] Congenital uterine malformations (also known as Müllerian malformations). [2] [7]
Menorrhagia (heavy or abnormal menstrual bleeding) may also be treated with the less invasive endometrial ablation which is an outpatient procedure in which the lining of the uterus is destroyed with heat, mechanically or by radio frequency ablation. [52] Endometrial ablation greatly reduces or eliminates monthly bleeding in ninety percent of ...
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A further surgical technique is endometrial ablation (destruction) by the use of applied heat (thermoablation). [58] The effectiveness of endometrial ablation is probably similar to that of LNG‐IUS but the evidence is uncertain if hysterectomy is better or worse than LNG-IUS for improving HMB. [21]
Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation, where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity. [1] It can also develop after abortion, [4] as well as after childbirth.
However, patients who desire pregnancy after having undergone a female sterilization procedure have two options. Tubal reversal is a type of microsurgery to repair the fallopian tube after a tubal ligation procedure. Successful pregnancy rates after reversal surgery are 42-69%, depending on the sterilization technique that was used. [36]
Surgeons use ablation or excision to remove endometriosis lesions. However, excision is the gold standard of treatment for endometriosis, as it involves cutting out the lesions, as opposed to ablation, which is the burning of the lesions, which leaves no samples for biopsy to confirm endometriosis.