![]() ![]() In most instances, you are able to go home on the same day or the following morning of the operation. The operation is usually carried out under general or regional anaesthetic. Pre-medication may be given to help induce drowsiness. This is to help thin the endometrium, making the operation easier and quicker.Īdmission to hospital takes place either on the day prior to or in the morning on the day of the operation. In preparation for the operation, your doctor may ask you to take a hormone preparation such as Danazol for several weeks before the operation. You are not medically fit enough for the major operation of hysterectomy.endometriosis ( a condition in which tissue resembling the endometrium is found in various locations in the pelvic cavity). There is no other pelvic pathology to cause the menstrual disturbance, e.g.Your menstrual problems are not controlled by medical treatment and are severe enough to justify hysterectomy.In general, you may be suitable for this operation if: You may be advised to have a D&C and/or hysteroscopy (examination of the cavity of the womb) to exclude unsuspected disease of the uterus. This will be followed by investigations which may include a Pap smear, a biopsy of the endometrium and blood tests. Your doctor will assess you thoroughly by taking a detailed history and making a careful general and internal examination. Who may benefit from hysteroscopic endometrial ablation? The diathermy resection method is quicker, however, and produces strips of the lining layer for pathology examination. The outcome seems to be the same no matter which method is employed. The endometrium may be removed in strips using a diathermy resecting loop ( a loop of wire heated by an electric current) or destroyed by a diathermy roller-ball ( a heated rotating ball at the end of a wire) or by laser energy. After the neck of the womb (cervix) is dilated, a small viewing telescope (hysteroscope) is introduced into the cavity which is kept expanded and clear by a fluid solution. This is most often a day-stay procedure in which the lining layer of the uterus (endometrium), from which monthly menstruation occurs, is destroyed. What does hysteroscopic endometrial ablation involve? Hysteroscopic endometrial ablation is a relatively new operation which may be suitable for you. You may have found that tablet treatment does not adequately control he problem, produces intolerable side effects or the problem returns whenever you try to stop your medications.Ī D&C is meant to exclude unsuspected disease of the uterus and is not a curative procedure, while s hysterectomy is a major operation from which you may need several weeks to fully recover. doi:10.1016/j.jmig.2017.12.Until recently, if you suffered from menstrual bleeding problems (excessively heavy, prolonged or frequent), the treatments your doctor could offer you were medications (including hormone tablets), a dilatation and curettage (D&C) or a hysterectomy. Recurrence in deep infiltrating endometriosis: a systematic review of the literature. Embryologic origin of endometriosis: analysis of 101 human female fetuses. The direct and indirect costs associated with endometriosis: a systematic literature review. Soliman AM, Yang H, Du EX, Kelley C, Winkel C. Find ultimate care for endometriosis and pelvic pain. Role of ovarian suspension in preventing postsurgical ovarian adhesions in patients with stage iii-iv pelvic endometriosis: a systematic review. Giampaolino P, Della Corte L, Saccone G, et al. ![]() The retroperitoneal approach to endometriosis. Journal of Minimally Invasive Gynecology. Laparoscopic excision versus ablation for endometriosis-associated pain: an updated systematic review and meta-analysis. ![]()
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