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J Am Assoc Gynecol Laparosc. 2002 May;9(2):175-7.

Perioperative complication rates of primary and repeat hysteroscopic endometrial ablations.

Author information

1
Department of Obstetrics and Gynaecology, St Joseph's Health Care, 268 Grosvenor St., London, Ontario N6A 4V2, Canada.

Abstract

STUDY OBJECTIVE:

To determine perioperative complication rates at primary and repeat endometrial ablations.

DESIGN:

Prospective cohort study (Canadian Task Force classification II-2).

SETTING:

Tertiary care teaching hospital.

PATIENTS:

Seventy-five women who underwent a repeat ablation and 800 who had a primary ablation by the same surgeon (GAV) between 1990 and 2000 for a diagnosis of menorrhagia and/or dysmenorrhea.

INTERVENTIONS:

Hysteroscopic ablation involving coagulation or resection of endometrium, and second ablation after failure of the first.

MEASUREMENTS AND MAIN RESULTS:

Serious perioperative complications were uterine perforation, hemorrhage, excess fluid absorption, and genital tract burns. They occurred in 9.3% of repeat ablations compared with 2.05% of primary ablations (p = 0.006).

CONCLUSION:

Repeat endometrial ablation has a significantly higher rate of perioperative complications than primary ablation.

PMID:
11960043
[Indexed for MEDLINE]

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