Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial
Objectives: To compare the operative time, effectiveness, and patient satisfaction between ball endometrial ablation and transcervical resection of the endometrium (TCRE) using a bipolar resectoscope. Materials and Methods: Forty-four women with heavy menstrual bleeding who were unresponsive to at l...
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doaj-30b26edf2bb54489a143270f69c7855f2021-08-09T09:52:49ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702021-01-0110314314710.4103/GMIT.GMIT_88_20Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trialMurali SubbaiahNeethu SelvestDilip Kumar MauryaObjectives: To compare the operative time, effectiveness, and patient satisfaction between ball endometrial ablation and transcervical resection of the endometrium (TCRE) using a bipolar resectoscope. Materials and Methods: Forty-four women with heavy menstrual bleeding who were unresponsive to at least 3 months' medical management were included in this randomized, controlled clinical trial. After randomization, patients underwent either TCRE or ball endometrial ablation using a bipolar resectoscope. The operative time, fluid deficit, and postoperative pain were recorded. The patients were evaluated postoperatively at 3, 6, and 12 months after surgery. Patient satisfaction, amenorrhea rate, reintervention rate, and pictorial blood-loss-assessment chart (PBAC) score were compared between the two groups. Results: The mean operative time in ball endometrial ablation group was 11.17 ± 2.24 min and in TCRE group was 22.33 ± 5.26 min (P < 0.001). There was no significant difference in the postoperative PBAC score, amenorrhea rates, patient satisfaction, and need for reintervention between the two groups. Conclusion: Operative time with ball endometrial ablation is significantly less when compared to TCRE when using a bipolar resectoscope.http://www.e-gmit.com/article.asp?issn=2213-3070;year=2021;volume=10;issue=3;spage=143;epage=147;aulast=Subbaiahball endometrial ablationbipolar resectoscopeheavy menstrual bleedingpictorial blood-loss-assessment charttranscervical resection of the endometrium |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Murali Subbaiah Neethu Selvest Dilip Kumar Maurya |
spellingShingle |
Murali Subbaiah Neethu Selvest Dilip Kumar Maurya Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial Gynecology and Minimally Invasive Therapy ball endometrial ablation bipolar resectoscope heavy menstrual bleeding pictorial blood-loss-assessment chart transcervical resection of the endometrium |
author_facet |
Murali Subbaiah Neethu Selvest Dilip Kumar Maurya |
author_sort |
Murali Subbaiah |
title |
Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial |
title_short |
Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial |
title_full |
Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial |
title_fullStr |
Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial |
title_full_unstemmed |
Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial |
title_sort |
comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: a randomized clinical trial |
publisher |
Wolters Kluwer Medknow Publications |
series |
Gynecology and Minimally Invasive Therapy |
issn |
2213-3070 |
publishDate |
2021-01-01 |
description |
Objectives: To compare the operative time, effectiveness, and patient satisfaction between ball endometrial ablation and transcervical resection of the endometrium (TCRE) using a bipolar resectoscope.
Materials and Methods: Forty-four women with heavy menstrual bleeding who were unresponsive to at least 3 months' medical management were included in this randomized, controlled clinical trial. After randomization, patients underwent either TCRE or ball endometrial ablation using a bipolar resectoscope. The operative time, fluid deficit, and postoperative pain were recorded. The patients were evaluated postoperatively at 3, 6, and 12 months after surgery. Patient satisfaction, amenorrhea rate, reintervention rate, and pictorial blood-loss-assessment chart (PBAC) score were compared between the two groups.
Results: The mean operative time in ball endometrial ablation group was 11.17 ± 2.24 min and in TCRE group was 22.33 ± 5.26 min (P < 0.001). There was no significant difference in the postoperative PBAC score, amenorrhea rates, patient satisfaction, and need for reintervention between the two groups.
Conclusion: Operative time with ball endometrial ablation is significantly less when compared to TCRE when using a bipolar resectoscope. |
topic |
ball endometrial ablation bipolar resectoscope heavy menstrual bleeding pictorial blood-loss-assessment chart transcervical resection of the endometrium |
url |
http://www.e-gmit.com/article.asp?issn=2213-3070;year=2021;volume=10;issue=3;spage=143;epage=147;aulast=Subbaiah |
work_keys_str_mv |
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