Clinical Predictive Factors of Failure of Hysteroscopic Endometrial Ablation: Retrospective Cohort Study at a Tertiary University Hospital
نویسندگان
چکیده
Background: Endometrial ablation is a safe and effective minimally invasive surgical procedure. Despite the high success rate of endometrial for heavy uterine bleeding management, some patients experience persistent symptoms after procedure, necessitating hysterectomy. The aim this study to determine pre-operative clinical predictive factors failure in management bleeding. Methods: Retrospective cohort procedures performed treating Results: Ninety five were included study. was 24.2%. There statistically significant association between fluid deficit (p = 0.002) intra-operative blood loss 0.047). moderate adenomyosis 0.003, φ 0.37) failed ablation. However, age, body mass index (BMI), parity, number miscarriages, cesarean sections, length, thickness procedure duration had no with relationship abnormalities general outcome 0.637). combined dysmenorrhea 0.016, 0.28) more likely have (crude odds ratio (COR) 4.67, 95% confidence interval (CI), 1.35–16.09). Logistic regression adjust related revealed that (adjusted (AOR) 50.83, CI, 3.64–706.75, p 0.003) (AOR 1.003, 1.000–1.006, 0.044) higher likelihood an unsuccessful outcome. Hysterectomy 47.8% who Conclusions: Among factors, adenomyosis, found predict hysteroscopic Clinical Trial Registration: It registered https://www.clinicaltrials.gov database Identifier: NCT05483348.
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[Hysteroscopic appearance of the endometrial cavity after endometrial ablation].
PURPOSE To examine the aspect of the uterine cavity after hysteroscopic endometrial ablation, to determine the prevalence of synechiae after the procedure, and to analyze the importance of hysteroscopy during the postoperative period. METHODS The results of the hysteroscopic exams of 153 patients who underwent outpatient hysteroscopy after endometrial ablation due to abnormal uterine bleeding...
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ژورنال
عنوان ژورنال: Clinical and Experimental Obstetrics & Gynecology
سال: 2023
ISSN: ['0390-6663', '2709-0094']
DOI: https://doi.org/10.31083/j.ceog5001003