Computer-based surgical simulation promises to provide a broader scope of clinical training through the introduction of anatomic variation, simulation of untoward events, and collection of performance data. We present a hapticallyenabled surgical simulator for the most common techniques in diagnostic and operative hysteroscopycervical dilation, endometrial resection and ablation, and lesion exc...

The aim of this study was to document the Doppler indices [pulsatility index (PI) and resistance index (RI)] of the uterine arteries in 30 patients who underwent hysteroscopic rollerball endometrial ablation for dysfunctional uterine bleeding by transvaginal pulsed Doppler sonography, and to reveal whether treatment failures (persistent menometrorrhagia) can be predicted by the blood flow chara...

Radiofrequency ablation (RFA) for thoracic tumours has emerged as a minimally invasive therapy option for primary and secondary lung tumours and has gained increasing acceptance for pain palliation. The procedure is well tolerated and the complication rates are low. RFA provides the opportunity for localized tissue destruction of limited tumour volumes with medium and long term follow-up data s...

Objectives: To investigate the clinical effects of transcervical interstitial microwave irradiation of adenomyotic tissues as an alternative to hysterectomy. Methods: Thirty-three patients who were candidates for hysterectomy for the treatment of adenomyosis associated with menorrhagia were treated by interstitial microwave irradiation using a specifically developed transabdominal ultrasound pr...

STUDY OBJECTIVE To evaluate short- and long-term treatment outcomes of outpatient local anaesthetic thermal balloon endometrial ablation (LA-TBEA) and identify any prognostic factors. STUDY DESIGN Prospective observational study in a UK teaching hospital involving 102 menorrhagic women undergoing LA-TBEA between 2001 and 2005. Women underwent either Gynecare® Thermachoice I (n = 51) or Therma...

OBJECTIVE To compare the clinical outcomes of microwave endometrial ablation and thermal balloon ablation for the treatment of heavy menstrual bleeding. DESIGN A double blind randomised controlled trial. SETTING A UK teaching hospital. POPULATION Three hundred and twenty women requesting endometrial ablation. METHODS Operative data collection and patient completed postal questionnaires ...

The origin and process of regeneration in rabbit endometrium was evaluated following photodynamic epithelial destruction using topically applied aminolevulinic acid (ALA). Selective destruction of endometrial epithelium was performed using photodynamic therapy (PDT). ALA was diluted to 200 mg/ml dextran 70 shortly prior to administration. A volume of 1.2 ml was injected into the left uterus. In...

Objective: The purpose of this study was to determine the incidence of new-onset pelvic pain within 2 years after either radiofrequency (RF) or thermal balloon (TB) endometrial ablation for menorrhagia. Study design: This study was a retrospective cohort study of consecutive patients treated by radiofrequency or thermal balloon global endometrial ablation (GEA) between 2003 and 2008. Setting: T...